Vaginal reconstruction after extended radical pelvic surgery for cancer: comparison of two techniques

Plastic and Reconstructive Surgery
Mario RietjensJean-Yves Petit

Abstract

An immediate partial or total vaginal reconstruction is frequently proposed in cases of exenterative or extended radical pelvic surgery for cancer treatment. One of the main complications after this reconstruction is the vagina obliteration caused by the healing process. This study compares the results of two different reconstructive techniques, particularly focusing on general complications and the risk of vaginal occlusion. A transversus rectus abdominis musculoperitoneal (TRAMP) composite flap has been performed in five cases, and an inverted inferior transverse rectus abdominis musculocutaneous flap (TRAM) has been used in another five cases. Recovery was uneventful in eight cases. One patient (case 5) developed an aortofemoral embolism requiring a bilateral transfemoral embolectomy and heparin administration. Another patient (case 9) experienced severe peritonitis because of the partial leak of the rectal anastomosis, and therefore a Mikulicz's colostomy was performed. Four patients who underwent the TRAMP flap developed a complete closure of the neovagina. In one patient with a TRAMP flap, a severe shortening (2 cm) of the neovagina occurred. Five patients out of five who underwent a reconstruction with a TRAM flap had a ...Continue Reading

References

Jan 1, 1988·Plastic and Reconstructive Surgery·G R Tobin, T G Day
Jun 1, 1987·The Journal of Urology·R G RowlandJ E Piser
Apr 1, 1994·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·T S Ghosh, E Y Kwawukume
Oct 1, 1994·Plastic and Reconstructive Surgery·Y B ChenY S Yang
Feb 1, 1994·Gynecologic Oncology·A MunkarahT N Evans
Aug 1, 1993·Human Pathology·T A ToolenaarS Chadha-Ajwani
Jun 1, 1996·Gynecologic Oncology·J W CarlsonL B Twiggs
Sep 23, 1997·Gynecologic Oncology·T R LoreeM S Piver

❮ Previous
Next ❯

Citations

Jun 29, 2005·Der Urologe. Ausg. A·E HoefterM Ninkovic
Dec 24, 2011·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Christian WindhoferWolfgang Michlits
Jul 15, 2009·Gynecologic Oncology·Jeffrey M Fowler
Feb 5, 2005·Plastic and Reconstructive Surgery·Liza C Wu, David H Song
Jan 1, 2010·Oncology Letters·Angiolo GadducciLuca Cionini
Mar 13, 2019·Plastic and Reconstructive Surgery. Global Open·Lisa M BlockMichael L Bentz
Jan 30, 2021·Journal of Palliative Medicine·Claire HoppenotEllen M Hartenbach

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen
U HegerJ Weitz
Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
P M Sagar
Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen
A UlrichM W Büchler
© 2022 Meta ULC. All rights reserved