Radical Vulvectomy and Complex Plastic Reconstruction - Surgical Film Festival-Radical Vulvectomy and Complex Plastic Reconstruction

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