Vaginal reconstruction with the femoral veno-neuroaccompanying artery fasciocutaneous flap

The arterial anatomy of the anteromedial thigh was investigated in ten fresh cadavers that had been systemically injected with a lead oxide–gelatin mixture. The arteries accompanying the great saphenous vein and the anterior cutaneous branches of the femoral nerve were found to have branches not only to the cutaneous vein and nerve, but also to the skin. On the basis of the anatomy of these accompanying arteries, a pedicled fasciocutaneous flap containing them was developed consisting of an adipofascial pedicle and a skin island. This flap has been named the femoral veno-neuroaccompanying artery fasciocutaneous flap (the femoral V-NAF flap, the great saphenous–femoral V-NAF flap) and has been applied in three cases of vaginal reconstruction.