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Published on: June 8, 2013
The Vertical Rectus Abdominis Myocutaneous Flap to Manage Vaginal Evisceration
Alison Fraser1, Michael Wagels2, Vivien Wong3
1Department of Colorectal Surgery, Princess Alexandra Hospital, Woolloongabba, Australia.
Background:
Pelvic organ prolapse (POP) is a significant issue requiring surgical correction in 19% of the female population by age 85 years. Complications of POP, especially in women who have undergone hysterectomy, include vaginal evisceration-a serious complication that carries high morbidity and mortality rates. Rarely, vaginal evisceration occurs after colpocleisis.
Case:
A 69-year-old female with recurrent vaginal evisceration following colpocleisis underwent surgical repair using a vertical rectus abdominis myocutaneous (VRAM) flap.
Conclusion:
Recurrent cases of POP and vaginal evisceration that are refractory to conventional treatment require consideration of novel management options. To our knowledge, this is the first case using a VRAM flap for the management of vaginal evisceration.
