Vaginoplasty for congenital absence of the vagina

In this work, several refinements of McIndoe technique were presented which are the dissection of a large pocket using an adjustable vaginal stent and the use of a meshed thick split thickness skin graft for lining the neovaginal pocket. This study included six cases of congenital vaginal agenesis [two patients had testicular feminization syndrome]. The volume of the reconstructed vaginal pockets ranged from 65 to 130 cc. After six-month follow-up period, the percentage of reduction in the size of the neovaginae from their original sizes ranged from 4.25 to 11.5%. These refinements proved to be of a value in improving the final outcome of the McIndoe technique for vaginal reconstruction

Reversed skin island, fascial pedicle flap of posterior calf for distal defects of the leg and foot: an alterative for free flap transfere

This report described a useful distally-based fasciocutaneous skin island, fascial pedicled flap, raised from the posterior calf. The blood supply of the flap depends on three sources: The first is the median sural neurovascular bundle, the second is the most distal septocutaneous perforators of the posterior tibial artery and the third one is the most distal septocutaneous perforators of the peroneal artery. The flap can reach the heel, the ankle region and the hind foot and can be used to cover the distal amputated stumps. The limitation of this flap is the sensory impairment of the lateral foot, but the results are superb considering this limitation. The aim of this study was to corroborate the role of this flap in certain patients avoiding the vagaries of microsurgery. An experience of 16 flaps was presented, where the flap dimension, arc of rotation, strengths and the limitation of the flap were discussed

Long term follow-up of surgically reconstructed flexor tendon system of the hand in complicated cases associated with scarred tendon bed using tendon proshesis

This study aimed to evaluate the long-term functional results in surgically reconstructed flexor tendon system of the hand following complicated injuries associated with scarred tendon bed and loss of integrity of its sheath. The study presented the long-term functional results in 32 patients. Most of the injuries [24] had occurred at work. Cutting tools were the causative trauma in the majority of cases. Radiologically, all the operated digits were free from any bone or joint abnormalities. The cases were selected and the neurovascular bundle was, at least, intact at one side of the involved digit; in addition, many were associated with joint contracture of one or more of the digital joints and limited passive motions