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[Vagina reconstruction with perineal axial flaps]. 1990

E T Guo
Changhai Hospital, Second Military Medical University, Shanghai.

Since Nov. 1988, 4 cases of vagina reconstruction were performed using perineal axial flaps with excellent results. The perineal axial flap contains posterior labial artery which penetrates the perineal fascia to the subcutaneous layer at the middle point between the posterior commissura and the root of the thigh, proceeds to the mons pubis along the lateral side about 1.5 cm to the labium majus. The flap 4 x 9 - 5 x 10 cm in size was designed according to the orientation of the artery from the root of the thigh to the labium majus on each side respectively. It was taken up, sutured as sack, and transferred to artificial cavity made between the bladder and rectum Donor sites were closed directly.

UI MeSH Term Description Entries
D010502 Perineum The body region lying between the genital area and the ANUS on the surface of the trunk, and to the shallow compartment lying deep to this area that is inferior to the PELVIC DIAPHRAGM. The surface area is between the VULVA and the anus in the female, and between the SCROTUM and the anus in the male. Perineums
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D013524 Surgical Flaps Tongues of skin and subcutaneous tissue, sometimes including muscle, cut away from the underlying parts but often still attached at one end. They retain their own microvasculature which is also transferred to the new site. They are often used in plastic surgery for filling a defect in a neighboring region. Island Flap,Island Flaps,Flap, Surgical,Flaps, Surgical,Pedicled Flap,Surgical Flap,Flap, Island,Flap, Pedicled,Flaps, Island,Flaps, Pedicled,Pedicled Flaps
D014621 Vagina The genital canal in the female, extending from the UTERUS to the VULVA. (Stedman, 25th ed) Vaginas
D014623 Vaginal Diseases Pathological processes of the VAGINA. Disease, Vaginal,Diseases, Vaginal,Vaginal Disease

Related Publications

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The perineal artery axial flap in reconstruction of the vagina.
August 1988, Plastic and reconstructive surgery,
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Perineal reconstruction with local flaps: technique and results.
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Reconstruction of Scalp with Local Axial Flaps.
October 2022, Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India,
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Gluteal fold flaps for perineal reconstruction.
March 2013, Journal of plastic, reconstructive & aesthetic surgery : JPRAS,
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[One-stage vagina reconstruction using free flaps].
July 2000, Zhonghua zheng xing wai ke za zhi = Zhonghua zhengxing waike zazhi = Chinese journal of plastic surgery,
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Vaginal reconstruction using perineal-thigh flaps with subcutaneous pedicle.
March 1991, Chinese medical sciences journal = Chung-kuo i hsueh k'o hsueh tsa chih,
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Reconstruction of nonhealing perineal wounds with gracilis muscle flaps.
December 1983, Annals of plastic surgery,
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Management of postexenteration perineal hernias by myocutaneous axial flaps.
August 1982, Gynecologic oncology,
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Perineal reconstruction using single gracilis myocutaneous flaps.
May 1995, Gynecologic oncology,
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Perineal perforator-based island flaps: the next frontier in perineal reconstruction.
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