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Gracilis myocutaneous vaginal reconstruction concurrent with total pelvic exenteration


, : Gracilis myocutaneous vaginal reconstruction concurrent with total pelvic exenteration. American Journal of Obstetrics & Gynecology 160(5 PART 1): 1095-1101

The gracilis myocutaneous vaginal reconstruction is commonly performed in patients undergoing a total pelvic exenteration. This retrospective review compares the operative and perioperative morbidity in 107 patients who underwent reconstruction with that in 44 patients who did not have reconstruction. With incorporation of the reconstructive procedure, there were no increases in operating time, blood loss, or length of hospitalization. Before 1980, 65% fo patients experienced prolapse of the neovagina; in 25% it was severe. The frequency of prolapse has since been decreased to 16% (6% severe) because of several modifications to the initial technique. Modifications have included using smaller flaps, anchoring the neovagina to the levator and retropublic fascia, and, when necessary for mobilization, ligating the neurovascular pedicle. With these modifications, 66% of patients also remained free of wound breakdown or necrosis. The frequency of severe necrosis has decreased from 24% to 13%. The anatomic result of the vaginal reconstructions appears to have been enhanced by these changes in technique.

US$19.90

PMID: 2658602

DOI: 10.1016/0090-8258(89)90863-9


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Tasian, G.E.; Zaid, H.; Cabana, M.D.; Baskin, L.S., 2010: Proximal hypospadias and risk of acquired cryptorchidism. We hypothesized that boys with proximal hypospadias are at increased risk for acquired cryptorchidism. We retrospectively studied the records of 114 boys who underwent repair for proximal hypospadias and had at least 1 year of followup, and 342 ag...

Das U.N., 1985: Minerals trace elements and vitamins interact with essential fatty acids and prostaglandins to prevent hypertension thrombosis hypercholesterolemia and atherosclerosis and their attendant complications. IRCS (International Research Communications System) Medical Science 13(8): 684-687

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Okubo, M.; Amemiya, K.; Kamata, K.; Kobayashi, N., 1992: Therapeutic effect of combined low-dose 15-deoxyspergualin and methylprednisolone on advanced lupus nephritis in New Zealand black/white F-1 hybrid mice. Nephrology Dialysis Transplantation 7(7): 675-676

Pushkarev, Y.D.; Starchenko, S.V., 2011: Mantle-protocore system evolution in the case of heterogenic accretion; paleomagnetic and isotopic evidences. The Earth evolution model for the case of heterogeneous accretion is developed as alternative to traditional hypotheses. According to this model the considerable part of the Fe and Ni should initially concentrate in the protocore in which content...

Muller J.E., 1973: Geology of Pacific Rim National Park. Complexly folded and faulted Mesozoic volcanic and sedimentary rocks overlain by Eocene sedimentary rocks and Pleistocene sediments, stratigraphy, structural geology, British Columbia.

Nankinov, Dimitar N., 2006: Migration of the curlew sandpiper Calidris ferruginea through Bulgaria. International Wader Studies, 19: 112-117

Hoffman, N.E.; Matteson, K.J.; Barboriak, J.J., 1977: Liquid chromatographic determination of the myo cardial isozyme of creatine kinase. Creatine kinase serum enzymes were separated by low pressure liquid chromatography with a Glycophase DEAE [diethylaminoethanol] column. The separated MB creatine kinase isozyme was assayed by measuring the amount of ATP formed from ADP and creatin...

Swift, Roger S., 1999: Macromolecular properties of soil humic substances: Fact, fiction, and opinion. A critical review of 'random coil' and 'self-associating aggregate' models and of earlier concepts of the macromolecular structure of humic substances (HS) is undertaken as a result of the development of more recent information...