Knol A C, Hage J J
Department of Plastic and Reconstructive Surgery, Academisch Ziekenhuis Vrije Universiteit, Amsterdam, The Netherlands.
Plast Reconstr Surg. 1997 Jun;99(7):1954-9. doi: 10.1097/00006534-199706000-00022.
Use of a local flap is often needed for closure of a defect in the perineogenital area. For this we have applied a pedicled skin flap raised in the infragluteal fold, the technical details and surgical results of which are presented in this paper. From 1985 until 1995, this infragluteal flap has been used to widen the vaginal introitus in 6 patients, to reconstruct the labia majora in 5, to close a rectovaginal fistula in 4, and to reconstruct the perineal body in 1. In all 16 patients the flap survived without signs of impaired circulation. The donor scar is inconspicuously located in the natural infragluteal plica, not violating any anatomic unit. The infragluteal skin flap adds to the surgical armamentarium for perineal and genital repair.
会阴生殖区缺损的闭合通常需要使用局部皮瓣。为此，我们应用了在臀下皱襞处掀起的带蒂皮瓣，本文介绍了其技术细节和手术结果。从1985年到1995年，该臀下皮瓣已用于6例患者扩大阴道入口、5例患者重建大阴唇、4例患者闭合直肠阴道瘘以及1例患者重建会阴体。所有16例患者的皮瓣均存活，无血液循环受损迹象。供区瘢痕位于自然的臀下皱襞内，不显眼，未侵犯任何解剖单元。臀下皮瓣增加了会阴和生殖器修复的手术手段。
