Summary
Most posterior vaginal wall defects are due to abdominoperineal resection for colorectal
carcinoma involving the posterior vaginal wall or resection of local malignancies.
The rectus abdominis myocutaneous flap, the modified Singapore flap and the gracilis
myocutaneous flap remain workhorse solutions for this type of vaginal reconstruction.
The introduction of the perforator concept has introduced new therapeutic options
using the gluteal donor site region. Recently, perforator-based gluteal flaps have
been described as a reliable solution for reconstruction of posterior vaginal wall
defects, with low donor site morbidity. Here, we present a new technique to optimise
results and minimise morbidity to the patient.
Keywords
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Article info
Publication history
Published online: December 02, 2011
Accepted:
November 6,
2011
Received:
October 25,
2011
Identification
Copyright
© 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.