Vaginal reconstruction with a greater omentum - pedicled flap combined with a vicryl mesh after anterior pelvic excentration surgical approach with cyto - histological follow-up

ABSTRACT

The aim of this study was to evaluate a new technique of vaginal reconstruction following anterior pelvic exenteration with clinical and cyto-histological follow up. Between March 2000 and November 2002, ten sexually active female patients underwent vaginal reconstruction after radical cystectomy that required en-bloc removal of the anterior vaginal wall, with a pedicle flap of greater omentum combined with a vicryl mesh. The mean operative time of the reconstructive procedure was 50 minutes. There were no complications regarding the reconstructive procedure. On the follow up, the neovagina accepted two fingers easily and showed pink colored smooth lining. Seven patients reported a successful attempted sexual intercourse. The combined cytological and histological follow up was very reliable and beneficial in the detection of complete healing, postoperative infections, hormonal activity of the flap and recurrence of malignancy