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Semin Plast Surg 2011; 25(2): 155-162
DOI: 10.1055/s-0031-1281485
© Thieme Medical Publishers

Reconstruction of Acquired Defects of the Vagina and Perineum

Christopher J. Salgado1 , Harvey Chim2 , Piotr P. Skowronski1 , John Oeltjen1 , Meily Rodriguez1 , Samir Mardini3
  • 1Division of Plastic Surgery, Miller School of Medicine, University of Miami, Miami, Florida
  • 2Department of Plastic Surgery, Case Western Reserve University, Cleveland, Ohio
  • 3Division of Plastic Surgery, Mayo Clinic, Rochester, Minnesota
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Publication History

Publication Date:
21 July 2011 (online)

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ABSTRACT

Successful reconstruction of vaginal and perineal defects requires close communication and cooperation between the extirpative and reconstructive surgeon. A variety of reconstructive options is available, dependent on the nature of the defect and extent of the ablative surgery. In all cases, obliteration of pelvic dead space and separation of intraabdominal contents from the perineum are important considerations to ensure uncomplicated perineal wound healing. The decision for vaginal reconstruction is also contingent upon the age, sexual function, and wishes of the patient. In this article, we review options for vaginal and perineal reconstruction in acquired defects.

KEYWORDS

Vagina - vulva - clitoris - vulvar cancer - uterine cancer - vaginal cancer - labia majora - labia minora

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Christopher J SalgadoM.D. 

Miller School of Medicine, University of Miami, Holtz Children's Center – ET 3019

1611 NW 12th Avenue, Miami, FL 33136

Email: salgado_plastics@hotmail.com

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