RT Book, Section
A1 Wang, Theresa Y.
A1 Chu, Michael
A1 McCarthy, Colleen M.
A2 Bristow, Robert E.
A2 Chi, Dennis S.
SR Print(0)
ID 1115055972
T1 Rectus Abdominis Flaps and Pudendal Thigh and Related Flaps
T2 Radical and Reconstructive Gynecologic Cancer Surgery
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 9780071808095
LK hemonc.mhmedical.com/content.aspx?aid=1115055972
RD 2024/04/19
AB Reconstruction  of  the  vulvovaginal  and  pelvic  region  can  be  a  complex  and  formidable  undertaking.  Defects  from  oncologic  resection  can  be  extensive  and  variable.  The  increasing  use  of  adjuvant  radiation  therapy  and  chemotherapy  further  adds  to  the  challenge  of  achieving  uncomplicated  wound  healing.  Trends  indicate  that  patients  are  being  diagnosed  with  gynecologic  malignancies  at  younger  ages,  and  with  better  treatments,  long-term  survival  has  increased.1,2,3,4  Longer  survival  results  in  a  higher  risk  of  local  recurrence,  which  can  complicate  reconstruction,  because  the  operative  field  in  such  patients  is  often  scarred  and  radiated.  The  goals  of  reconstructing  vaginal  defects  are  manifold:  to  restore  normal  anatomy,  to  facilitate  primary  wound  healing,  to  fill  in  dead  space  in  the  pelvis  with  healthy  tissue,  to  restore  support  of  the  pelvic  floor,  and  to  create  a  neovagina  that  allows  for  sexual  activity.