Regular ArticlePudendal Thigh Fasciocutaneous Flaps for Vaginal Reconstruction in Gynecologic Oncology
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Vulvar and vaginal reconstruction using the angel wing perforator-based island flap
2015, Gynecologic OncologyAlternatives to commonly used pelvic reconstruction procedures in gynecologic oncology
2014, Gynecologic OncologyCitation Excerpt :When the apex is not secured to internal pelvic structures, the binder should be used for several weeks postoperatively to minimize the risk of prolapse. The flap is harvested from the groin crease just lateral to the labia majora and is usually designed to measure approximately 9 × 4 cm to 15 × 6 cm [52], with the base of the flap at the level of the posterior fourchette (S9). In the original Singapore flap, the flap is islandized with an incision made posteriorly through the skin and subcutaneous tissue, and then rotated 90° and tunneled under the labia majora.
Vulvar reconstruction using the "lotus petal" fascio-cutaneous flap
2013, Gynecologic OncologyCitation Excerpt :Further, in the absence of a need for bulk, the fascio-cutaneous flaps provide a more anatomically appropriate thickness for coverage of the vulvar and perineum than myocutaneous flaps. Though multiple advancement flaps are suitable for vulvo-perineal reconstruction, including the gluteus flap [12], the V to Y advancement [13], and the pudendal thigh flap [14], the gluteal fold version of the lotus petal flap best respects a natural anatomic fold at the donor site leading to the most cosmetic donor site closure (Fig. 1D). Additionally, the lotus petal flap can be based some distance from even a wide radical excision, allowing use when more proximal flap bases have been excised [15].
Reconstruction of the irradiated perineum following extended abdomino-perineal excision for cancer: An algorithmic approach
2012, Journal of Plastic, Reconstructive and Aesthetic SurgeryCitation Excerpt :Alone, this fascio-cutaneous flap does not provide sufficient bulk for extended APER defects, and is used more frequently for vaginal defects. Unfortunately this flap has proved inconsistent in survival.26 A recent study has improved the understanding of the vascular anatomy of this flap, however this is yet to be clinically corroborated.27
Penoscrotal reconstruction with gracilis muscle flap and internal pudendal artery perforator flap transposition
2012, UrologyCitation Excerpt :These problems in versatility could cause difficulty in controlling inflammation in patients with Fournier's gangrene. Fasciocutaneous flaps, such as a medial thigh flap, a gluteal thigh flap, and a superomedial thigh flap were also used widely in the past.3,5,16 These flaps provided a pliable local flap without being bulky, and good protection of superficial defects and donor site scar could be concealed.
The pudendal thigh flap for vaginal reconstruction: Optimising flap survival
2010, Journal of Plastic, Reconstructive and Aesthetic Surgery