Cirugía Plástica Ibero-Latinoamericana
versión impresa ISSN 0376-7892
PEREZ BERTOLEZ, S. et al. Application of vulvoperineal fasciocutaneous flaps in pediatric surgery: case report. Cir. plást. iberolatinoam. [online]. 2008, vol.34, n.3, pp.243-246. ISSN 0376-7892.
The incidence of vaginal agenesis is 1/4000-10000 female alive newborns. The most frequent cause is Mayer-Rokitansky-Küster-Hauser syndrome. A technique for vaginal reconstruction using the vulvoperineal fasciocutaneous flaps (Malaga flaps) in a pediatric patient affected of this syndrome is presented, describing the steps of the procedure and its anatomic basis. This technique allows the reconstruction of an excellent quality and sensible neovagina, with a physiologic inclination angle which allows the sexual intercourse, in one single stage operation and with minimal morbidity. The main inconvenient of this procedure is the hair growth inside the vagina, although it diminishes with the passage of time due to follicular atrophy and cutaneous metaplasy.
Palabras clave : Vaginal agenesis; Vaginoplasty; Malaga's flap.