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3. Discussion

A comprehensive literature search was conducted on May 26, 2015. No other cases were found describing a vaginal wall reconstruction using an acellular collagen matrix graft following resection of a locally advanced rectal mass. Alloderm® dermal allograft which was used in this case is constructed from human skin in which epidermis and cellular material are removed. Revascularization is facilitated along the collagen matrix of the graft (Supplementary figure). Rectus abdominis myocutaneous (RAM) flap repair is the most common method of reconstruction in the setting of colorectal malignancy requiring vaginectomy (McArdle et al., 2012; D'Souza et al., 2003). Cases currently reported in the literature in which an allograft was used to create a neovagina are described for the correction of vaginal agenesis. One case series documents three patients in which such a repair took place as an alternative …