Vaginoplasty: a modern approach: a report of 2 cases.
BACKGROUND
Split-thickness skin graft vaginoplasty is one of many methods for vaginal reconstruction. In its 130-year history it has been modified by numerous authors in attempts to improve graft viability and neovaginal function. We describe a modern approach that aims to improve outcomes and reduce complications.


METHODS
Two cases of split-thickness skin graft vaginoplasty are presented in which the traditional Abbé-McIndoe technique was supplemented by the combined use of vacuum-assisted closure and fibrin tissue sealant. In both cases 100% graft survival and normal neovaginal function were observed, with no recipient site complications. Both patients mobilized on postoperative day 3, and both were sexually active 4 months postoperatively.


CONCLUSIONS
This approach has not been described previously in the literature. The impressive results seen in these cases suggest that the use of vacuum-assisted closure and fibrin tissue sealant in combination may improve graft survival and resulting neovaginal function.
Department of Gynecology, City Hospital, Birmingham, UK. jfussey@doctors.org.uk
Jonathan M
JM
Fussey
David M
DM
Luesley
Guy D
GD
Sterne
D000230:Adenocarcinoma / Q000601:surgery; D000328:Adult; D005260:Female; D015718:Fibrin Tissue Adhesive; D006801:Humans; D054843:Negative-Pressure Wound Therapy; D010235:Paraganglioma / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods*; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms / Q000601:surgery; D014621:Vagina / Q000601:surgery*; D014625:Vaginal Neoplasms / Q000601:surgery
D015718:Fibrin Tissue Adhesive