title: Cervical Flap After Trachelectomy to Maintain Vaginal Length.
abstract: Anterior colporrhaphy is associated with a reduction in vaginal length after repair. These 2 case reports describe a potential solution for cervical elongation and prolapse in the setting of shortened vaginal length after anterior colporrhaphy.
  
  
  
  Two sexually active women underwent anterior colporrhaphies by outside providers. They quickly re-presented with cervical prolapse and compromised anterior vaginal lengths. In each case, sacrocolpopexy with supracervical hysterectomy was performed, establishing a new vaginal apex. When cervical elongation subsequently occurred, trachelectomy was performed using part of the cervix as a cervical flap to maintain vaginal length.
  
  
  
  These 2 case reports illustrate the use of a cervical flap after trachelectomy to preserve vaginal length. We were unable to find reports in the literature describing a similar technique.
authors.affiliation: From the Department of Obstetrics and Gynecology, Maine Medical Center, Portland, ME.
authors.forename: Patricia Lynn
authors.initials: PL
authors.lastname: Hudson
authors.forename: Mary C
authors.initials: MC
authors.lastname: Brandes
mesh_terms: D000368:Aged; D002584:Cervix Uteri / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery; D011184:Postoperative Period; D019651:Plastic Surgery Procedures; D012008:Recurrence; D013524:Surgical Flaps; D000069339:Trachelectomy / Q000379:methods*; D014555:Urination Disorders / Q000209:etiology / Q000601:surgery; D002577:Uterine Cervical Diseases / Q000601:surgery; D014596:Uterine Prolapse / Q000150:complications / Q000601:surgery*; D014621:Vagina / Q000473:pathology / Q000601:surgery*