[The value of vaginoplasty in perineal cicatrization following amputation of the rectum via abdomino-perineal approach].

Advantage of vaginoplasty in perineum healing following abdominoperineal amputation of the rectum. Healing of the perineal wound following abdominoperineal amputation of the rectum is achieved by secondary intention within 6 to 12 weeks. To improve the tedious dressings and to minimise the duration of healing, resorting to primary healing of the perineum in the females is facilitated by a technique of vaginoplasty. Our observations through personal experience dealing with 24 patients matched those described by Johnston in 1969 and 1979. Perineal healing was obtained within 10-14 days. The vaginal floor epithelialization was obtained after a median duration of 32.7 days. No important complications were noticed in relation to this technique.