Vaginal reconstruction after pelvic exenteration:  when and which technics?

Gwénaël Ferron; Pierre Martel; Denis Querleu



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Vaginal reconstruction after pelvic exenteration: when and which technics?
Bulletin du Cancer. Volume 90, Number 5, 435-40, Mai 2003, SYNTHÈSE
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Author(s) : Gwénaël Ferron, Pierre Martel, Denis Querleu
Summary : Pelvic exenterations are commonly performed to treat locally advanced or recurrent tumours of the pelvic organs to achieve long-term survival. Those procedures may present complications. Reconstructive procedures have become an important part of radical pelvic surgery to improve quality of life. Various surgical procedure of vaginal reconstruction have been describe. Myocutaneous flaps are effective in the prevention of major morbidity with pelvic filling and physiological neovagina. Vertical rectus abdominis myocutaneous flap is the technique of choise with simple harvesting and large pelvic filling. Gracilis and gluteal thight flaps are particularly adapted in pelvectomy with perineal resection. Enterocolpoplasty and omental flap must be used in radical colpectomie or difficult pelvic access.
Keywords : cervical cancer, pelvectomy, vaginal reconstruction, rectus abdominis myocutaneous flap, gracilis myocutaneous flap, pudendal thigh, reconstruction vaginale flap, omental flap, complication, quality of life.