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Original Research

Open Access

Vertical rectus abdominis myocutaneous flap for vaginal reconstruction after radical pelvic surgery for Stage II vaginal carcinoma

  • O.L. Tapisiz1,*,
  • T. Gungor1
  • C.O. Demiralp2
  • M.E. Demirseren2
  • H. Yalcin1
  • L. Mollamahmutoglu1

1Department of Gynecologic Oncology, Dr. Zekai Tahir Burak Women’s Health Education and Research Hospital, Ankara, Turkey

2Department of Plastic, Reconstructive and Aesthetic Surgery, Ataturk Training and Research Hospital, Ankara, Turkey

DOI: 10.12892/ejgo201102216 Vol.32,Issue 2,March 2011 pp.216-217

Published: 10 March 2011

*Corresponding Author(s): O.L. Tapisiz E-mail: omertapisiz@yahoo.com.tr

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Abstract

Primary carcinomas of the vagina are uncommon, occurring only 2-3% of all gynecological malignancies. In women with early stage of disease, primary surgery, consisting of radical vaginectomy (plus hysterectomy in patients with tumors involving the upper vagina) and systematic dissection of lymphatic drainage of tumor, is a valid option. In these patients, a rectus abdominis myocutaneous (RAM) flap may be favorably used for vaginal reconstruction during radical pelvic surgery. Here we describe a case of Stage II vaginal carcinoma treated with radical pelvic surgery and vertical-RAM (V-RAM) flap reconstruction.


Keywords

Vaginal carcinoma; Oncopelvic surgery; Reconstruction; V-RAM flap

Cite and Share

O.L. Tapisiz,T. Gungor,C.O. Demiralp,M.E. Demirseren,H. Yalcin,L. Mollamahmutoglu. Vertical rectus abdominis myocutaneous flap for vaginal reconstruction after radical pelvic surgery for Stage II vaginal carcinoma. European Journal of Gynaecological Oncology. 2011. 32(2);216-217.

URL:

https://www.ejgo.net/articles/10.12892/ejgo201102216

References

[1] Hellman K., Silfversward C., Nilsson B., Hellstrom A.C., Frankendal B., Pettersson F.: “Primary carcinoma of the vagina: factors influencing the age at diagnosis. The Radiumhemmet series 1956-96”. Int. J. Gynecol. Cancer, 2004, 14, 491.

[2] Tjalma W.A., Monaghan J.M., de Barros Lopes A., Naik R., Nordin A. J., Weyler J.J.: “The role of surgery in invasive squamous carcinoma of the vagina”. Gynecol. Oncol., 2001, 81, 360.

[3] Houvenaeghel G., Ghouti L., Moutardier V., Buttarelli M., Lelong B., Delpero J.R.: “Rectus abdominis myocutaneous flap in radical oncopelvic surgery: a safe and useful procedure”. Eur. J. Surg. Oncol., 2005, 31, 1185.

[4] Smith H.O., Genesen M.C., Runowicz C.D., Goldberg G.L.: “The rectus abdominis myocutaneous flap: modifications, complications, and sexual function”. Cancer, 1998, 83, 510.

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