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Radical Vulvectomy and Complex Plastic Reconstruct ...
Radical Vulvectomy and Complex Plastic Reconstruct ...
Radical Vulvectomy and Complex Plastic Reconstruction
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Video Transcription
Video Summary
The video content includes two presentations. The first presentation discusses vaginal reconstruction using abdominal-based flaps, with the vertical rectus abdominis myocutaneous (VRAM) flap being the most common choice. The speaker explains the process of harvesting the VRAM flap, rotating it into the pelvis to recreate the vagina, and closing the abdominal fascia. The omentum flap is also used to obliterate dead space. Examples of total vaginal reconstruction using these flaps are provided.<br /><br />The second presentation focuses on lymphovascular mapping and bypass surgery for lymphedema treatment. The speaker discusses selecting the appropriate procedure based on the type and extent of lymphedema. The surgical technique of lymphovenous bypass is explained, involving making connections between lymphatic vessels and venules to improve drainage. Two patient cases with positive outcomes and significant reduction in lymphedema volume after surgery are presented.<br /><br />The presentations highlight the importance of early surgical intervention and a multidisciplinary approach to the management of vaginal reconstruction and lymphedema. The use of fluorescence imaging (Spy) is also mentioned as a valuable tool for ensuring flap perfusion during vaginal reconstruction surgery. No specific credits are mentioned in the summary.
Keywords
vaginal reconstruction
abdominal-based flaps
vertical rectus abdominis myocutaneous flap
VRAM flap
abdominal fascia
omentum flap
total vaginal reconstruction
lymphovascular mapping
bypass surgery
lymphedema treatment
lymphovenous bypass
multidisciplinary approach
fluorescence imaging
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