Urology
Volume 74, Issue 1 , Pages 197-201 , July 2009

Refined DIEP Flap Technique for Vaginal Reconstruction

  • Zeng Ang

      Affiliations

    • Department of Plastic Surgery, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing, China
    • ,
  • Qiao Qun

      Affiliations

    • Department of Plastic Surgery, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing, China
    • Corresponding Author InformationReprint requests: Qiao Qun, M.D., Ph.D., Department of Plastic Surgery, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, 1 Shuaifuyuan Wangfujing, Beijing 100730 China
    • ,
  • Yu Peirong

      Affiliations

    • Department of Plastic Surgery, University of Texas, M. D. Anderson Cancer Center, Houston, Texas
    • ,
  • Liu Z. Fei

      Affiliations

    • Department of Plastic Surgery, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing, China
    • ,
  • Zhu Lin

      Affiliations

    • Department of Plastic Surgery, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing, China
    • ,
  • Li W. Wei

      Affiliations

    • Department of Plastic Surgery, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing, China
    • ,
  • Zhang H. Lin

      Affiliations

    • Department of Plastic Surgery, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing, China
    • ,
  • Fang B. Rong

      Affiliations

    • Department of Plastic Surgery, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing, China

Received 8 September 2008 ,Accepted 30 November 2008.

References 

  1. Ismail-Pratt IS, Bikoo M, Liao LM, et al. Normalization of the vagina by dilator treatment alone in complete androgen insensitivity syndrome and Mayer-Rokitansky-Kuster-Hauser syndrome. Hum Reprod. 2007;22:2020–2024
  2. Pusic AL, Mehrara BJ. Vaginal reconstruction: an algorithm approach to defect classification and flap reconstruction. J Surg Oncol. 2006;94:515–521
  3. Zorn KC, Bzrezinski A, St-Denis B, et al. Female neo-urethral reconstruction with a modified neurovascular pudendal thigh flap (Singapore flap): initial experience. Can J Urol. 2007;14:3449–3454
  4. Casey WJ, Tran NV, Petty PM, et al. A comparison of 99 consecutive vaginal reconstructions: an outcome study. Ann Plast Surg. 2004;52:27–30
  5. Joseph VT. Pudendal-thigh flap vaginoplasty in the reconstruction of genital anomalies. J Pediatr Surg. 1997;32:62–65
  6. Soper JT, Secord AA, Havrilesky LJ, et al. Comparison of gracilis and rectus abdominus myocutaneous flap neovaginal reconstruction performed during radical pelvic surgery: flap-specific morbidity. Int J Gynecol Cancer. 2007;17:298–303
  7. Cordeiro PG, Pusic AL, Disa JJ. A classification system and reconstructive algorithm for acquired vaginal defects. Plast Reconstr Surg. 2002;110:1058–1065
  8. Jurado M, Bazan A, Elejabeitia J, et al. Primary vaginal and pelvic floor reconstruction at the time of pelvic exenteration: a study of morbidity. Gynecol Oncol. 2000;77:293–297
  9. Ho K, Warrier S, Solomon MJ, et al. A prepelvic tunnel for the rectus abdominis myocutaneous flap in perineal reconstruction. J Plast Reconstr Aesthet Surg. 2006;59:1415–1419
  10. Soper JT, Havrilesky LJ, Secord AA, et al. Rectus abdominis myocutaneous flaps for neovaginal reconstruction after radical pelvic surgery. Int J Gynecol Cancer. 2005;15:542–548
  11. Sood AK, Cooper BC, Sorosky JI, et al. Novel modification of the vertical rectus abdominis myocutaneous flap for neovagina creation. Obstet Gynecol. 2005;105:514–518
  12. Houvenaeghel G, Ghouti L, Moutardier V, et al. Rectus abdominis myocutaneous flap in radical oncopelvic surgery: a safe and useful procedure. Eur J Surg Oncol. 2005;31:1185–1190
  13. Bell SW, Dehni N, Chaouat M, et al. Primary rectus abdominis myocutaneous flap for repair of perineal and vaginal defects after extended abdominoperineal resection. Br J Surg. 2005;92:482–486
  14. Wang X, Qiao Q, Burd A, et al. A new technique of vaginal reconstruction with the deep inferior epigastric perforator flap: a preliminary report. Plast Reconstr Surg. 2007;119:1785–1790
  15. Rozen WM, Phillips TJ, Ashton MW, et al. Preoperative imaging for DIEA perforator flaps: a comparative study of computed tomographic angiography and Doppler ultrasound. Plast Reconstr Surg. 2008;121:9–16
  16. Schaverien M, Saint-Cyr M, Arbique G, et al. Arterial and venous anatomies of the deep inferior epigastric perforator and superficial inferior epigastric artery flaps. Plast Reconstr Surg. 2008;121:1909–1919
  17. Holm C, Mayr M, Hofter E, et al. Perfusion zones of the DIEP flap revisited: a clinical study. Plast Reconstr Surg. 2006;117:37–43
  18. Santanelli F, Paolini G, Renzi L, et al. Preliminary experience in reconstruction of the vulva using the pedicled vertical deep inferior epigastric perforator flap. Plast Reconstr Surg. 2007;120:182–186
  19. Worseg AP, Kuzbari R, Hubsch P, et al. Scarpa's fascia flap: anatomic studies and clinical application. Plast Reconstr Surg. 1997;99:1368–1380
  20. Kimura N, Satoh K, Hasumi T, et al. Clinical application of the free thin anterolateral thigh flap in 31 consecutive patients. Plast Reconstr Surg. 2001;108:1197–1208
  21. Kimura N. A microdissected thin tensor fasciae latae perforator flap. Plast Reconstr Surg. 2002;109:69–77
  22. Kim KS, Noh BK, Kim DY, et al. Thin paraumbilical perforator-based cutaneous island flap for scrotal resurfacing. Plast Reconstr Surg. 2001;108:447–451

PII: S0090-4295(08)02000-1

doi: 10.1016/j.urology.2008.11.054

Urology
Volume 74, Issue 1 , Pages 197-201 , July 2009

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