PMC7682142_01
A) The flap is rotated 180  clockwise on its DIEA pedicle and
is tunneled via intraperitoneal route into the pelvis (care must
be taken not to kink or place tension on the vascular pedicule);
B) the flap is led precautiously to the perineal defect in order
that the lateral end of the flap (L) covers the anterior side of
the defect and temporary stitches that were placed between
aponeurosis and skin are cut, flap is positioned and then sewed
cutaneocutanously with separated resorbable stitches (in case of
posterior vaginal resection, the flap will satisfactorily
replace it); C and D) aspect of the abdominal wall and the
perineum six weeks after surgery.
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PMC7682142_01_0102-6720-abcd-33-02-e1507-gf2.jpg
f2