Perineal and posterior vaginal wall reconstruction with superior and inferior gluteal artery perforator flaps
Article first published online: 27 APR 2009
Copyright © 2009 Wiley-Liss, Inc.
Volume 29, Issue 8, pages 626–629, November 2009
How to Cite
Wagstaff, M. J. D., Rozen, W. M., Whitaker, I. S., Enajat, M., Audolfsson, T. and Acosta, R. (2009), Perineal and posterior vaginal wall reconstruction with superior and inferior gluteal artery perforator flaps. Microsurgery, 29: 626–629. doi: 10.1002/micr.20663
- Issue published online: 2 NOV 2009
- Article first published online: 27 APR 2009
- Manuscript Accepted: 23 MAR 2009
- Manuscript Received: 28 JAN 2009
Perineal and posterior vaginal wall reconstruction following abdominoperineal and local cancer resection entails replacement of volume between the perineum and sacrum and restoration of a functional vagina. Ideal local reconstructive options include those which avoid functional muscle sacrifice, do not interfere with colostomy formation, and avoid the use of irradiated tissue. In avoiding the donor site morbidity of other options, we describe a fasciocutaneous option for the reconstruction of the perineum and posterior vaginal wall. We present our technique of superior and inferior gluteal artery perforator (SGAP or IGAP) flaps to reconstruct such defects. Fourteen patients between 2004 and 2008 underwent 11 SGAP and three IGAP flaps. There were no flap failures or partial flap losses and no postoperative hernias. All female patients reported resumption of sexual intercourse following this procedure. Our experience in both the immediate and delayed setting is that this technique produces a good functional outcome with low donor-site morbidity. © 2009 Wiley-Liss, Inc. Microsurgery 2009.