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Tissue Expanders Optimize Harvesting of Full-thickness Skin Grafts in Select Patients Undergoing McIndoe Neovagina

Loveless, Meredith MD*; Gutman, Robert MD*; Cundiff, Geoffrey MD

Journal of Pelvic Medicine and Surgery: May-June 2008 - Volume 14 - Issue 3 - p 185-190
doi: 10.1097/SPV.0b013e31817aec2f
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Objective: We describe the use of tissue expanders in patients who have insufficient skin to harvest full-thickness skin graft for creation of an adequate neovagina.

Methods: Retrospective descriptive series.

Results: Tissue expanders were used successfully to create adequate tissue for harvest of a full-thickness skin graft for creation of a neovagina.

Discussion: Using tissue expanders to create adequate tissue for full-thickness skin grafts in the petite patient allowed us to apply the benefits of full-thickness skin graft in these smaller and often younger women. The use of tissue expanders to create full-thickness skin graft appears to be a safe, effective, and well-tolerated technique with good cosmetic results.

This retrospective series will introduce the novel technique of using tissue expanders to create adequate tissue for full-thickness skin grafts in the petite patient for creation of neovagina.

From the *Johns Hopkins University School of Medicine, Department of Gynecology and Obstetrics, Johns Hopkins Bayview Medical Center, Baltimore, Maryland; and †University of British Columbia, School of Medicine, Department of Obstetrics and Gynecology, British Columbia, Canada.

Corresponding author: Dr. Meredith Loveless, Department of Obstetrics and Gynecology, Johns Hopkins Bayview Medical Center, 4940 Eastern Ave., Room 121, Baltimore, Maryland 21224. E-mail: mlovele1@jhmi.edu.

Reprints are not available.

© 2008 Lippincott Williams & Wilkins, Inc.