Vaginal reconstruction with the femoral veno-neuroaccompanying artery fasciocutaneous flap

The arterial anatomy of the anteromedial thigh was investigated in ten fres h cadavers that had been systemically injected with a lead oxide-gelatin mi xture. The arteries accompanying the great saphenous vein and the anterior cutaneous branches of the femoral nerve were found to have branches not onl y to the cutaneous vein and nerve, but also to the skin. On the basis of th e anatomy of these accompanying arteries, a pedicled fasciocutaneous flap c ontaining them was developed consisting of an adipofascial pedicle and a sk in island. This flap has been named the femoral veno-neuroaccompanying arte ry fasciocutaneous flap (the femoral V-NAF flap, the great saphenous-femora l V-NAF flap) and has been applied in three cases of vaginal reconstruction . (C) 1999 The British Association of Plastic Surgeons.