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- Title
Vulvar reconstruction using a 'V-Y' fascio-cutaneous gluteal flap: a valid reconstructive alternative in post-oncological loss of substance.
- Authors
Lazzaro, Lara; Guarneri, Gianni; Rampino Cordaro, Emanuele; Bassini, Daniele; Revesz, Susanna; Borgna, Guido; Parodi, Pier
- Abstract
Objective: We will present our experience in vulvar reconstruction using a local fascio-cutaneous flap, in order to get an easier intra-operative management and a good post-operative outcome. Methods: Between May 2006 and December 2008, eight patients with vulvar carcinomas underwent a vulvar reconstruction, using a V-Y advancement flap of the gluteal fold. This fascio-cutaneous flap, based on the perforator vessels originated from the internal pudendal artery, was used for the reconstructive treatment of patients who had undergone a vulvectomy with medium-size defects. Results: All the 16 flaps prepared survived without major complications. Walking and sitting positions were restored in few post-operative days. Length of hospitalisation was 2-3 weeks. The flaps restored sensitivity few months after surgery. In no case the surgical scars needed being revised. Conclusions: The follow-up results proved satisfactory in terms of patients' compliance and morphological results. The flap appeared to be thin, well vascularised and very flexible in its advancement. The post-operative follow-up is characterised by a rapid healing and a low incidence of short- and long-term complications.
- Subjects
VULVECTOMY; VULVAR cancer; SURGICAL flaps; GYNECOLOGY; FOLLOW-up studies (Medicine); HEALTH outcome assessment; SURGICAL complications
- Publication
Archives of Gynecology & Obstetrics, 2010, Vol 282, Issue 5, p521
- ISSN
0932-0067
- Publication type
Article
- DOI
10.1007/s00404-010-1603-1