Neovagina constructed from an omental J flap and a split thickness skin graft

Construction of a neovagina has been an accepted gynecologic procedure for many years. The omental J flap normally used to close off the pelvic inlet after total pelvic exenteration can, with modification, be made into a cylinder for a neovagina. This cylinder is sutured to the introitus and lined with a split thickness skin graft providing a satisfactory and functional vagina.