Surgical Film Library-Use Of Modified Fasciocutaneous Martius Flap For Vaginal Reconstruction: A Case Report

Use Of Modified Fasciocutaneous Martius Flap For Vaginal Reconstruction: A Case Report

Video Transcription

Video Summary

The video details a vaginal reconstruction for a 27-year-old woman with severe vaginal stenosis following chemoradiation for cervical cancer. Using simultaneous robotic and perineal approaches, surgeons performed a total hysterectomy and colpectomy, then created a new 9 cm vagina via a modified Martial’s facial cutaneous flap from the inguinal area. The flap was tunneled and anastomosed to form a vaginal tube, supported by sutures and a vaginal dilator. The patient recovered well, was discharged the day after surgery, and at six months post-op resumed vaginal intercourse with excellent healing and no complications.

Asset Subtitle

Renato Moretti-Marques, Brazil

Meta Tag

Route Open

Skill Level Expert

Surgical Location Vulva

Keywords

Open

Vulva

Expert

vaginal reconstruction

vaginal stenosis

robotic surgery

Martial’s facial cutaneous flap

cervical cancer