Philomène Lenoir1, Marine Lallemant2,3, Marie Vilchez2, Rajeev Ramanah2,3. 1. Department of Gynecologic Surgery, Besancon University Medical Centre, 3 Alexander Fleming Boulevard, 25000, Besançon, France. phlenoir18@gmail.com. 2. Department of Gynecologic Surgery, Besancon University Medical Centre, 3 Alexander Fleming Boulevard, 25000, Besançon, France. 3. Nanomedicine Imaging and Therapeutics Laboratory, INSERM EA 4662, University of Franche-Comte, Besançon, France.
Abstract
INTRODUCTION AND HYPOTHESIS: Episiotomy scar may be the site of complications and result in wound dehiscence in the long term. The aim of this video article was to describe the surgical steps required to repair a right perineal defect after episiotomy using a V-Y advancement flap. METHOD: Our patient had an episiotomy dehiscence that had already benefited from an end-to-end repair, but the perineal defect recurred. A V-Y advancement flap was performed. The first step of this surgery was to remove the episiotomy scar. A V-shaped flap was then created to fill the perineal defect. Upon advancement, the V flap was transformed in a Y shape and secured using tension-free absorbable sutures. CONCLUSION: There was no flap necrosis, and the esthetic result was satisfactory.
INTRODUCTION AND HYPOTHESIS: Episiotomy scar may be the site of complications and result in wound dehiscence in the long term. The aim of this video article was to describe the surgical steps required to repair a right perineal defect after episiotomy using a V-Y advancement flap. METHOD: Our patient had an episiotomy dehiscence that had already benefited from an end-to-end repair, but the perineal defect recurred. A V-Y advancement flap was performed. The first step of this surgery was to remove the episiotomy scar. A V-shaped flap was then created to fill the perineal defect. Upon advancement, the V flap was transformed in a Y shape and secured using tension-free absorbable sutures. CONCLUSION: There was no flap necrosis, and the esthetic result was satisfactory.
Authors: Ana C R Pitangui; Rodrigo C Araújo; Michelle J S Bezerra; Camila O Ribeiro; Ana M S Nakano Journal: Braz J Phys Ther Date: 2014 Jan-Feb Impact factor: 3.377
Authors: Lauren C Hand; Talia M Maas; Nadia Baka; Rebecca J Mercier; Patrick J Greaney; Norman G Rosenblum; Christine H Kim Journal: Gynecol Oncol Rep Date: 2018-08-24