Experience with vaginal reconstruction utilizing the modified Singapore flap.

Area of Science:

• Reconstructive surgery
• Gynecologic surgery
• Plastic surgery

Background:

• Vaginal reconstruction techniques have limitations.
• Previous methods have shown varying success rates and drawbacks.

Purpose of the Study:

• To evaluate a modified neurovascular pudendal-thigh flap technique for vaginal reconstruction.
• To assess the efficacy and outcomes of this modified approach in patients requiring vaginal reconstruction.

Main Methods:

• Modification of the Wee and Joseph technique using neurovascular pudendal-thigh flaps.
• Involved releasing labia majora for improved flap rotation.
• Applied to eight patients, including those with complex histories like multiple procedures and radiation.

Main Results:

• No flap failures occurred despite challenging patient conditions.
• Excellent cosmetic contour and satisfactory functional potential were achieved.
• The procedure demonstrated superiority over previously used techniques in over 30 reconstructions.

Conclusions:

• The modified neurovascular pudendal-thigh flap technique is a reliable and effective method for vaginal reconstruction.
• It offers superior aesthetic and functional outcomes compared to other methods.
• This approach is particularly beneficial for patients with complex reconstructive needs.