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. Depiction of Alloderm  regenerative matrix. http://www.lifecell.com/health-care-professionals/lifecell-products/allodermr-regenerative-tissue-matrix/allodermr-tissue-matrix-defined/tissue-regeneration/. Permission obtained from Lifecell Inc. for publication.
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A colonoscopy demonstrated a near-circumferential friable and bulky rectal mass 4-5 cm from the anal verge (Fig. 1).
Rectal cancer detected on initial colonoscopy 4-5 cm from anal verge.
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This was then used to bridge the gap between the left and right vaginal walls posteriorly and was sutured into place along the margins of the remaining vaginal mucosa using interrupted 3-0 Vicryl sutures (Figs. 2a, 2b).
a, and 2b: Sagittal illustration of vagina demonstrating position and location of allograft mesh, and en-block resection (inset). 2b: Depiction of vagina (lithotomy view) demonstrating position and location of allograft mesh. Illustration Courtesy Beth K. Lozanoff, CMI, John A. Burns School of Medicine, Honolulu, HI.
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The back wall of the biologically reconstructed vagina was well healed and the mucosa appeared physiologically normal (Fig. 3).