Vaginal reconstruction using a vertical rectus abdominis myocutaneous flapin a child: A case report

Rhabdomyosarcoma is the most common soft tissue sarcoma in infants and chil dren younger than 15 years old. Multimodal treatment using chemotherapy, ra diation, and surgery have increased survival. Because of the potential for long-term survival, the importance of organ preservation and vaginal and pe lvic reconstruction has been recognized. The authors report a case in which special circumstances led to vaginal reconstruction concomitantly with exe nteration surgery. The authors present the first reported use of a vertical rectus abdominis myocutaneous flap in a child and describe the technique a nd its potential advantages. Copyright (C) 2001 by W.B. Saunders Company.