A fasciocutaneous flap for vaginal and perineal reconstruction

Academic Article

Abstract

  • A skin and fascia flap from the medial thigh is proposed for vaginal and perineal reconstruction. Dissection, vascular injection, and radiographs of 20 fresh cadaver limbs uniformly demonstrated the presence of a communicating suprafascial vascular plexus in the medial thigh. Three to four nonaxial vessels were consistently found to enter the proximal plexus from within 5 cm of the perineum. Preservation of these vessels permitted reliable elevation of a 9 X 20 cm fasciocutaneous flap without using the gracilis muscle as a vascular carrier. Fifteen flaps in 13 patients were used for vaginal replacement and coverage of vulvectomy, groin, and ischial defects. Depending on the magnitude of the defect, simultaneous and independent elevation of the gracilis muscle provided additional vascularized coverage as needed. Our experience indicates that the medial thigh fasciocutaneous flap is a durable, less bulky, and potentially sensate alternative to the gracilis musculocutaneous flap for vaginal and perineal reconstruction. © 1987 American Society of Plastic Surgeons.
  • Authors

    Published In

    Digital Object Identifier (doi)

    Pubmed Id

  • 6840827
  • Author List

  • Wang TN; Whetzel T; Mathes SJ; Vasconez LO
  • Start Page

  • 95
  • End Page

  • 102
  • Volume

  • 80
  • Issue

  • 1