Refinements in vaginal reconstruction using rectus abdominis flaps.

摘要: An improved method for vaginal reconstruction after pelvic exenteration or abdominal perineal resection is provided by the distally based rectus abdominis flap. This extended flap carries a skin paddle from upper abdomen on muscle and deep inferior epigastric vascular pedicle. The inversely tubed to form pouch delivered transpelvically perineum. In addition providing sexual function, this lessens wound complications in patient filling endopelvic dead space revascularizing these frequently irradiated wounds. provides neovagina with single does not involve additional donor sites thighs. Transpelvic passage above only fills better than thigh flaps, but also it allows retention of cuff supralevator resections. Another significant advantage its great reliability minimal incidence loss. design illustrates type refinement which specific flaps can carry tissue adjacent territories because anastomotic vessels between two territories, such as watershed superior case.