UNASSIGNED: Vaginal reconstruction after @entity530 ( @entity530 ) represents a challenge for the oncologic surgeon. Since the introduction of perforator flaps, using pedicled vertical DIEP (deep inferior epigastric perforator) flap allows to reduce the donor site complication rate. From November 2012 to December 2014, 27 PEs were performed in our institution. 13 @entity1 who underwent @entity530 with vaginal reconstruction and programmed DIEP procedure for gynecologic @entity5 were registered. Nine @entity1 underwent @entity530 for recurrent disease and four for primary treatment. Six of the 13 @entity1 have a preoperative @entity292 . Anterior @entity530 was performed in 10 @entity1 , and total @entity530 in 3 @entity1 . A vertical DIEP flap was performed in 10 @entity1 using one or two medial perforators. The reasons for abortion of vertical DIEP flap procedure were: failure to localizing perforator vessels in two cases, and unavailability of plastic surgeon in one case. A vertical fascia-sparring rectus abdominis myocutaneous flap was then harvested. Median length of surgery was 335min, and 60min for DIEP harvesting and vaginal reconstruction. No flap @entity39 occurred. One @entity1 in the VRAM (vertical rectus abdominis myocutaneous) group experienced a late incisional @entity547 and one @entity1 in the DIEP flap group required revision for vaginal @entity850 . In our experience, DIEP flap represents our preferred choice of flap for circumferential vaginal reconstruction after @entity530 . To achieve a high reproducibility, the technically demanding pedicled vertical DIEP flap has to be harvested by a trained surgeon, after strict evaluation of the preoperative imaging with identification and localization of perforator vessels.

Vaginal reconstruction with pedicled vertical deep inferior epigastric perforator flap (diep) after XXXX . A consecutive case series.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity39 :: ('MESH:D009336', 'Disease') :: ['necrosis'] @entity5 :: ('MESH:D009369', 'Disease') :: ['malignancies'] @entity530 :: ('MESH:D010386', 'Disease') :: ['PE', 'pelvic exenteration'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistula'] @entity547 :: ('MESH:D006547', 'Disease') :: ['hernia'] @entity850 :: ('MESH:D003251', 'Disease') :: ['stenosis']
@entity530 :: (MESH:D010386,Disease) :: ['pelvic exenteration']
