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Journal of the Korean Society of Plastic and Reconstructive Surgeons 2002;29(1):59-61.
Published online January 1, 2002.
A Case of Mini-pudendal Flap for Vaginal Reconstruction in Turner Syndrome.
Soon Keol Kim
1Department of Plastic and Reconstructive Surgery, College of Medicine, Inje University, Korea.
2Ilsan Paik Hospital, Kyunggido, Korea. lulu@ilsanpaik.ac.kr
Abstract
Turner's syndrom is a disorder of gonadal differentiation in patients phenotypically female, marked by short stature. undifferentiated gonads, and variable abnormalities that may include webbing of the neck, low posterior hair line, cubitus valgus, and cardiac defects. It is typically associated with absence of the second sex chromosome(45, XO). The mini-pudendal flap was designed as a result to reconstruct the vaginal deformity of a patient with Turner's syndrom. The flap are raised bilaterally in the perineum just lateral to the labia majora and then are transposed toward the midline and sutured together. This technique is currently available method because it is simple and reliable. No stents or dilators are needed because of minimal flap contracture. It is a safe technique without complications. The donor scars in the groin are well hidden.
Keywords: Turner's syndrom; Vaginal deformity; Pudendal flap
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