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European Journal of Plastic Surgery

, Volume 36, Issue 10, pp 669–670 | Cite as

Vaginal reconstruction with rectus abdominis myocutaneous flaps after abdominoplasty

  • Bryan J. Correa
  • Erik M. Wolfswinkel
  • William M. Weathers
  • Tue Dinh
Letter to the Editor
  • 160 Downloads

Sir,

In vaginal reconstruction, autologous flaps can provide coverage of a critical wound and return of function, which significantly improves psychological well-being and quality of life. Many patients will have multiple reconstructive options for a vaginal defect; however, there are some cases where an ideal flap exists and the alternatives are either suboptimal or infeasible. We present a case to demonstrate the viability of performing a vertical rectus abdominis myocutaneous flap (VRAM) for vaginal reconstruction in a patient with a prior abdominoplasty.

A 61-year-old female with a history of recurrent vaginal cancer after primary resection and radiation therapy presented for functional vaginal reconstruction after total pelvic exenteration. The patient’s surgical history was significant for a full abdominoplasty with rectus plication and umbilical transposition 10 years prior to presentation. The considerable defect created by the pelvic exenteration (Fig.  1) required a large...

Keywords

Myocutaneous Flap Pelvic Exenteration Reconstructive Option Skin Paddle Transverse Rectus Abdominis Myocutaneous 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Conflict of interest

None.

References

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Bryan J. Correa
    • 1
  • Erik M. Wolfswinkel
    • 1
  • William M. Weathers
    • 1
  • Tue Dinh
    • 2
  1. 1.Division of Plastic Surgery, Michael E. Debakey Department of SurgeryBaylor College of MedicineHoustonUSA
  2. 2.Methodist Institute for Reconstructive Surgery, The Methodist HospitalWeill Cornell UniversityHoustonUSA

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