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- Title
Reconstruction of Vulva and Perineal Defects After Gynecological Oncological Surgery and Effectiveness of Local Flaps.
- Authors
AKSAN, Tolga; KARATEKE, Ateş; UZUNEYÜPOĞLU, Orkun; ÖZTÜRK, Muhammed Beşir; KÜÇÜKBAŞ, Mehmet
- Abstract
Aim: Although most defects can close by primary suturing after radical surgery of gynecological malignancies, different reconstruction options are available when large defects that require reconstruction occur. In this study, we present the treatment strategy and results for patients who underwent reconstruction after resection for gynecological cancer in the vulva and perineum. Material and Methods: A total of 18 patients who underwent reconstruction between May 2018 and July 2020 were included in this retrospective study. Demographics and clinical data, the resection operation, characteristics of the defect, and the reconstruction methods applied were evaluated. Postoperative treatment strategy and complication rates were evaluated. Results: The mean age was 62.3±13.2 (42-83) years. 88.9% of the patients had additional diseases. Pelvic exentration was performed in 5 (27.8%) patients, anterior resection in 2 (11.1%) patients and vulvectomy in 11 (61.1%) patients. The most common malignancy was squamous cell carcinoma, and mean defect size was 106±97 (12-476) cm2. Reconstruction was performed with a local fasciocutaneous flap in 16 (88.9%) patients, pedicled rectus myocutaneous flap in one (5.6%) patient, and skin graft in one (5.6%) patient. Wound complications occurred in 5 (27.8%) patients, partial flap necrosis in one (5.6%) patient, and recurrence in one (5.6%) patient in the long term. Conclusion: It is possible to reconstruction most of the vulva and perineal defects with local flaps after oncological resections, Considering the characteristics of the area and patient comorbidities, it should be kept in mind that prolonged wound problems may be seen, especially in vulvectomy patients.
- Subjects
PERINEUM surgery; VULVA surgery; SURGICAL flaps; SKIN grafting; PELVIC exenteration; VULVECTOMY; PLASTIC surgery; SURGICAL complications; RETROSPECTIVE studies; WOUNDS &; injuries; FEMALE reproductive organ tumors; SQUAMOUS cell carcinoma; COMORBIDITY
- Publication
Duzce Medical Journal, 2021, Vol 23, Issue 2, p164
- ISSN
1307-671X
- Publication type
Article
- DOI
10.18678/dtfd.911107