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Singapore Flap (Pudendal Thigh Fasciocutaneous Flap) for Vaginal Reconstruction

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Operative Dictations in Plastic and Reconstructive Surgery

Abstract

The Singapore flap, which is a pedicled pudendal fasciocutaneous flap from the thigh, is used for vaginal reconstruction in the case of vaginal agenesis, perineal wound closure, rectovaginal fistula repair, and disorders of sexual differentiation. It may also be used to reconstruct the vagina following pelvic exenteration in the case of gynecologic malignancy. Possible complications include flap loss or necrosis, wound dehiscence, neovaginal stenosis or prolapse, infection, hair growth, and dyspareunia.

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Suggested Reading

  1. Salgado CJ, Chim H, Skowronski PP, Oeltjen J, Rodriguez M, Mardini S. Reconstruction of acquired defects of the vagina and perineum. Semin Plast Surg. 2011;25(2):155–62.

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  2. Wee JT, Joseph VT. A new technique of vaginal reconstruction using neurovascular pudendal-thigh flaps: a preliminary report. Plast Reconstr Surg. 1989;83(4):701–9.

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  3. Woods JE, Alter G, Meland B, Podrantz K. Experience with vaginal reconstruction utilizing the modified Singapore flap. Plast Reconstr Surg. 1992;90:270.

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Correspondence to Lydia A. Fein M.D., M.P.H. .

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Fein, L.A., Salgado, C.J., Pearson, J.M. (2017). Singapore Flap (Pudendal Thigh Fasciocutaneous Flap) for Vaginal Reconstruction. In: Anh Tran, T., Panthaki, Z., Hoballah, J., Thaller, S. (eds) Operative Dictations in Plastic and Reconstructive Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-40631-2_152

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  • DOI: https://doi.org/10.1007/978-3-319-40631-2_152

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-40629-9

  • Online ISBN: 978-3-319-40631-2

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