Subject(s)
Buschke-Lowenstein Tumor/surgery , Vulvar Neoplasms/surgery , Adult , Buschke-Lowenstein Tumor/pathology , Buschke-Lowenstein Tumor/virology , Female , Human Papillomavirus DNA Tests , Human papillomavirus 6/genetics , Humans , Plastic Surgery Procedures , Vulvar Neoplasms/pathology , Vulvar Neoplasms/virologyABSTRACT
AIM: Various procedures have been described for the creation of neovagina. McIndoe operation is gold standard for vaginoplasty in which split thick skin graft is used for lining the neovagina. However the rate of contraction of the graft is very high. We have used labia minora flaps along with the third flap created from suburethral tissue for lining the neovaginal space in 17 patients with good results. METHODS: The method was used in 17 patients. After creation of neovaginal space three flaps were raised - two labia minora flaps and the third flap from suburethral tissue. The flaps were inturned and lined the neovaginal space. If whole space was not lined with flaps, supplementary grafting was used to cover the unlined space. RESULTS: Thirteen patients came for follow up out of whom in one patient the labia minora flap necrosed and patient developed contracture of the vagina. In all other patients the result was satisfactory. There was no need of added lubrication during sex in any of the patients. CONCLUSION: A three flap method of vaginoplasty in agenesis of the vagina has been described with good result.
Subject(s)
Plastic Surgery Procedures , Surgical Flaps , Vagina/abnormalities , Vagina/surgery , Adolescent , Adult , Female , Humans , Plastic Surgery Procedures/adverse effects , Vulva/surgery , Young AdultABSTRACT
Heel ulcers are common in insensate foot. The management of such ulcers require tissue not only to resurface the skin defect, which is small in most of the cases; but also well vascularised tissue to fill the cavity which results after excision of the ulcer. We have described a new flap prefabricated radial fascial flap, by which both aims are achieved easily.
ABSTRACT
Amputation of the penis due to electrical burns is not rare in India. There are many methods of penile reconstruction and same is true for urethral reconstruction. We describe the use of prefabricated radial fascial urethra with good results in such patients.
Subject(s)
Amputation, Traumatic/surgery , Burns, Electric/surgery , Penis/injuries , Plastic Surgery Procedures/methods , Urethra/injuries , Adolescent , Adult , Amputation, Traumatic/etiology , Burns, Electric/complications , Humans , Male , Middle Aged , Penis/surgery , Skin Transplantation/methods , Surgical Flaps , Treatment Outcome , Urethra/surgeryABSTRACT
Supragaleal placement of tissue expander for management of alopecia of scalp excludes tough galeal layer so that easier and faster expansion of scalp may be achieved.
