[Vagina reconstruction with perineal axial flaps]

Since Nov. 1988, 4 cases of vagina reconstruction were performed using perineal axial flaps with excellent results. The perineal axial flap contains posterior labial artery which penetrates the perineal fascia to the subcutaneous layer at the middle point between the posterior commissura and the root of the thigh, proceeds to the mons pubis along the lateral side about 1.5 cm to the labium majus. The flap 4 x 9 - 5 x 10 cm in size was designed according to the orientation of the artery from the root of the thigh to the labium majus on each side respectively. It was taken up, sutured as sack, and transferred to artificial cavity made between the bladder and rectum Donor sites were closed directly.