Rotational labial and inferior pudendal artery based inner thigh flaps for vaginal defect after reconstructive surgery

Abstract

For vaginal reconstructive surgery, the vaginal defect sometimes cannot be closed with primary intention due to poor tissue quality or loss of the vaginal wall. To cover the defect, plastic surgeons may be consulted with regard to a tissue advancement flap, a very complex procedure, and urologists may not feel familiar with it or comfortable with carrying it out. The rotational labial and inferior pudendal artery based inner thigh flap, devised by Professor Shlomo Raz, is a simple and useful procedure which urologists can perform with a short learning curve. Therefore, this article aims to demonstrate the surgical technique involved in this flap which can be widely used as an adjunct to any vaginal reconstructive procedures.