VAGINAL RECONSTRUCTION PERFORMED SIMULTANEOUSLY WITH PELVIC EXENTERATION
- 1 January 1984
- journal article
- research article
- Vol. 63 (3), 318-323
Abstract
Patients (28) underwent vaginal reconstruction simultaneously with pelvic exenteration performed for recurrent pelvic malignancy. A satisfactory neovagina was created in 24 (86%) patients. Successful bilateral grafting was accomplished in 18 of 21 (86%) patients using gracilis myocutaneous grafts. Seven patients had a split-thickness skin graft, most of which was combined with an omental pedicle graft; 6 of these patients had a satisfactory neovagina. None of the patients developed herniation of the bowel through the reconstructed pelvic floor, or fistulas in the absence of recurrent malignancy. The gracilis myocutaneous graft is most feasible in patients in whom total pelvic exenteration is performed, whereas a split-thickness graft is preferable in those patients who undergo anterior exenteration or who have rectosigmoid reconstruction using low colon reanastomosis.This publication has 7 references indexed in Scilit:
- PSYCHOSEXUAL ADJUSTMENT FOLLOWING PELVIC EXENTERATION1983
- DELAYED VAGINAL RECONSTRUCTION IN THE FIBROTIC PELVIS FOLLOWING RADIATION OR PREVIOUS RECONSTRUCTION1983
- Infectious morbidity associated with pelvic exenterationGynecologic Oncology, 1980
- MUSCULOCUTANEOUS FLAPS IN RECONSTRUCTIVE PELVIC-SURGERY1979
- MANAGEMENT OF PELVIC FLOOR AFTER PELVIC EXENTERATION1977
- Complete excision of pelvic viscera for advanced carcinoma.A one-stage abdominoperineal operation with end colostomy and bilateral ureteral implantation into the colon above the colostomyCancer, 1948
- An Operation for the Cure of Congenital Absence of the VaginaBJOG: An International Journal of Obstetrics and Gynaecology, 1938