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Case Reports
. 2021 Jun 24;9(6):e04183.
doi: 10.1002/ccr3.4183. eCollection 2021 Jun.

Laparoscopy-assisted immediate vaginal reconstruction with a vertical pedicled deep inferior epigastric perforator flap for primary melanoma of the vagina

Pierre-François Dupré  1   2 , Delphine Legoupil  3 , Camille Vigouroux  1 , Virginie Conan-Charlet  4 , Isabelle Kergastel  5 , Philippe Merviel  1 , Nathalie Kerfant  6
Affiliations
Case Reports

Laparoscopy-assisted immediate vaginal reconstruction with a vertical pedicled deep inferior epigastric perforator flap for primary melanoma of the vagina

Pierre-François Dupré et al. Clin Case Rep. .

Abstract

The vagina is a rare site for primary melanoma. Here, we report on a case of laparoscopy-assisted immediate vaginal reconstruction with vertical pedicled deep inferior epigastric perforator flap.

Keywords: DIEP; melanoma; treatment; vagina; vaginal reconstruction.

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Conflict of interest statement

The authors report no conflicts of interest in relation to the present study.

Figures

FIGURE 1
FIGURE 1
Vaginal examination (A) of the PMV lesion. Black arrow: PMV lesion. MRI‐T2 sequence (B) of the PMV lesion. Black arrow: PMV lesion
FIGURE 2
FIGURE 2
CT angiography of the deep inferior epigastric artery (A). A CT scan of the vascular network (B)
FIGURE 3
FIGURE 3
The inferior epigastric vessel transilluminated with the laparoscope's cold light source (A). EA: inferior epigastric artery
FIGURE 4
FIGURE 4
Laparoscopic view of the DIEP flap after its transfer to the pelvic cavity (A) EA: inferior epigastric artery UA: umbilical artery U: ureter. Laparoscopic view of the DIEP flap after its transfer to the pelvic cavity (A) EA: inferior epigastric artery UA: umbilical artery U: ureter. Laparoscopic view of the DIEP flap just before vaginal reconstruction (B) EA: inferior epigastric artery UA: umbilical artery U: ureter White arrow: The flap's two edges were sutured together, to give the flap a cylindrical shape
FIGURE 5
FIGURE 5
View of the neovagina after reconstruction by the DIEP flap. The length of the vagina is estimated by the length of the vaginal valve
See this image and copyright information in PMC

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