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Tumorerkrankungen der Vulva und Vagina pp 283–294Cite as

Plastische Rekonstruktion der Vagina

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Zusammenfassung

Bei der Rekonstruktion der Vagina gilt es, verschiedene Aspekte zu berücksichtigen. Ob und auf welche Weise die Vagina nach onkologischen Eingriffen rekonstruiert werden kann, hängt von der Größe und Lokalisation des Defekts ab. Für die Defektdeckung nach Kolpektomie eignen sich andere Verfahren als bei partiellen Defekten. Welcher Lappen oder welche Form der Rekonstruktion zum Einsatz kommen kann, ist zudem wesentlich von der onkologischen Situation sowie individuell von der Patientin und ihren Begleiterkrankungen abhängig.

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Literatur

  • Ang Z, Qun Q, Peirong Y, Fei LZ, Lin Z, Wei LW, Lin ZH, Rong FB (2009) Refined DIEP flap technique for vaginal reconstruction. Urology 74(1):197–201

    Article  PubMed  Google Scholar 

  • Beemer W, Hopkins MP, Morley GW (1988) Vaginal reconstruction ingynecologic oncology. Obstet Gynecol 72:911–914

    Article  CAS  PubMed  Google Scholar 

  • Bhavsar AK1, Lin-Hurtubise KM2, Dietrich CS (2016) Restoration of vaginal anatomy after extensive posterior wall resection utilizing human acellular dermal matrix. Gynecol Oncol Rep 16: 14–6

    Google Scholar 

  • Birkhoff JD, Wechsler M, Romas NA (1977) Urinary fistulas: vaginal repair using a labial fat pad. J Urol 117:595–597

    Article  CAS  PubMed  Google Scholar 

  • Caglar H, Delgado G, Hreshchyshyn MM (1986) Partial and total skinning vulvectomy in treatment of carcinoma in situ of the vulva. Obstet Gynecol 68:504–507

    PubMed  CAS  Google Scholar 

  • Casey WJ, Tran NV, Petty PM, Stulak JM, Woods JE (2004) A comparison of 99 consecutive vaginal reconstructions: an outcome study. Ann Plast Surg 52:27–30

    Article  PubMed  Google Scholar 

  • Erman Akar M, Özkan Ö, Özkan Ö, Colak T, Gecici O (2013) Sexual function and long-term results following vaginal reconstruction with free vascular jejunal flap. J Sex Med 10(11):2849–2854

    Article  PubMed  Google Scholar 

  • Forner DM et al (2015) Quality of life and sexual function after surgery in early stage vulvar cancer. Eur J Surg Oncol 41:40–45

    Article  CAS  PubMed  Google Scholar 

  • Hashimoto I, Abe Y, Nakanishi H (2014) The internal pudendal artery perforator flap: free-style pedicle perforator flaps for vulva, vagina, and buttock reconstruction. Plast Reconstr Surg 133(4):924–933

    Article  CAS  PubMed  Google Scholar 

  • Hawighorst-Knapstein S, Schönefussrs G, Hoffmann SO, Knapstein PG (1997) Pelvic exenteration: effects of surgery on quality of life and body image–a prospective longitudinal study. Gynecol Oncol 66(3):495–500

    Article  CAS  PubMed  Google Scholar 

  • Hendren WH, Atala A (1994) Use of bowel for vaginal reconstruction. J Urol 152:752–755

    Article  CAS  PubMed  Google Scholar 

  • Höckel M, Dornhöfer N (2008) Vulvovaginal reconstruction for neoplastic disease. Lancet Oncol 9(6):559–568

    Article  PubMed  Google Scholar 

  • Hurwitz DJ, Zwiebel PC (1985) Gluteal thigh flap repair of chronic perineal wounds. Am J Surg 150(3):386–391

    Article  CAS  PubMed  Google Scholar 

  • Hurwitz DJ, Swartz WM, Mathes SJ (1981) The gluteal thigh flap: a reliable, sensate flap for the closure of buttock and perineal wounds. Plast Reconstr Surg 68:521–532

    Article  CAS  PubMed  Google Scholar 

  • Kaartinen IS, Vuento MH, Hyöty MK, Kallio J, Kuokkanen HO (2015) Reconstruction of the pelvic floor and the vagina after total pelvic exenteration using the transverse musculocutaneous gracilis flap. J Plast Reconstr Aesthet Surg 68(1):93–97

    Article  PubMed  Google Scholar 

  • Khulpateea BR, Silver DF (2014) A ten year experience of cecal neovagina procedures for the restoration of sexual function on a gynecology oncology service. Gynecol Oncol 134(1):150–153

    Article  PubMed  Google Scholar 

  • Kusiak JF, Rosenblum NG (1996) Neovaginal reconstruction after exenteration using an omental flap and split-thickness skin graft. Plast Reconstr Surg 97(4): 775–81, Discussion 783–783

    Google Scholar 

  • Lee PK, Choi MS, Ahn ST, Oh DY, Rhie JW, Han KT (2006) Gluteal fold V-Y advancement flap for vulvar and vaginal reconstruction: a new flap. Plast Reconstr Surg 118:401–406

    Article  CAS  PubMed  Google Scholar 

  • Likes WM et al (2007) Correlates of sexual function following vulvar excision. Gynecol Oncol 105:600–603

    Article  PubMed  Google Scholar 

  • McCraw JB, Massey FM, Shanklin KD, Horton CE (1976) Vaginal reconstruction with gracilis myocutaneous flaps. Plast Reconstr Surg 58(2):176–183

    Article  CAS  PubMed  Google Scholar 

  • O’Connell C, Mirhashemi R, Kassira N, Lambrou N, McDonald WS (2005) Formation of functional neovagina with vertical rectus abdominis musculocutaneous (VRAM) flap after total pelvic exenteration. Ann Plast Surg 55(5):470–473

    Article  CAS  PubMed  Google Scholar 

  • Pratt JH (1961) Sigmoidovaginostomy: a new method of obtaining satisfactory vaginal depth. Am J Obstet Gynecol 81:535–545

    Article  CAS  PubMed  Google Scholar 

  • Qiu SS, Jurado M, Hontanilla B (2013) Comparison of TRAM versus DIEP flap in total vaginal reconstruction after pelvic exenteration. Plast Reconstr Surg 132(6):1020e–7e

    Article  CAS  PubMed  Google Scholar 

  • Scott JR, Liu D, Mathes DW (2010) Patient-reported outcomes and sexual function in vaginal reconstruction: a 17-year review, survey, and review of the literature. Ann Plast Surg 64(3):311–314

    Article  CAS  PubMed  Google Scholar 

  • Soper JT, Secord AA, Havrilesky LJ, Berchuck A, Clarke-Pearson DL (2007) Comparison of gracilis and rectus abdominis myocutaneous flap neovaginal reconstruction performed during radical pelvic surgery: flap-specificmorbidity. Int J Gynecol Cancer 17:298–303

    Article  CAS  PubMed  Google Scholar 

  • Stany MP, Sunde J, Bidus MA, Rose GS, Elkas JC (2010) The use of acellular dermal allograft for vulvovaginal reconstruction. Int J Gynecol Cancer 20(6):1079–1081

    Article  PubMed  Google Scholar 

  • Tobin GR, Day TG (1988) Vaginal and pelvic reconstruction with distally based rectus abdominis myocutaneous flaps. Plast Reconstr Surg 81:62–73

    Article  CAS  PubMed  Google Scholar 

  • Turner-Warwick R, Kirby RS (1990) The construction and reconstruction of the vagina with the colocecum. Surg Gynecol Obstet 170:132–136

    PubMed  CAS  Google Scholar 

  • Wharton LR (1938) A simple method of constructing a vagina: report of four cases. Ann Surg 107(5):842–854

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • White AJ, Buchsbaum HJ, Blythe JG, Lifshitz S (1982) Use of the bulbocavernosus muscle (Martius procedure) for repair of radiation induced rectovaginal fistulas. Obstet Gynecol 60:114–118

    PubMed  CAS  Google Scholar 

  • Wilmoth MC, Botchway P (1999) Psychosexual implications of breast and gynecologic cancer. Cancer Invest 17:631–666

    Article  CAS  PubMed  Google Scholar 

  • Windhofer C, Papp C, Staudach A, Michlits W (2012) Local fasciocutaneous infragluteal (FCI) flap for vulvar and vaginal reconstruction: a new technique in cancer surgery. Int J Gynecol Cancer 22(1):132–138

    Article  PubMed  Google Scholar 

  • Zhu L, Zhou H, Sun Z, Lou W, Lang J (2013) Anatomic and sexual outcomes after vaginoplasty using tissue-engineered biomaterial graft in patients with Mayer-Rokitansky-Küster-Hauser syndrome: a new minimally invasive and effective surgery. J Sex Med 10(6):1652–1658

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Klinik und Poliklinik für Geburtshilfe und Frauengesundheit, Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Mainz, Deutschland

    Alexander Seeger

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  1. Alexander Seeger
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Correspondence to Alexander Seeger .

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Editors and Affiliations

  1. Kaarst, Germany

    Hans-Georg Schnürch

  2. Frauenklinik, Universitätsklinikum Düsseldorf, Düsseldorf, Germany

    Monika Hampl

  3. Klinik für Gynäkologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany

    Linn Wölber

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© 2018 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature

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Seeger, A. (2018). Plastische Rekonstruktion der Vagina. In: Schnürch, HG., Hampl, M., Wölber, L. (eds) Tumorerkrankungen der Vulva und Vagina. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-56636-7_11

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  • DOI: https://doi.org/10.1007/978-3-662-56636-7_11

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-56635-0

  • Online ISBN: 978-3-662-56636-7

  • eBook Packages: Medicine (German Language)

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