A Case of Vulvar reconstruction with Gluteal Fasciocutaneous Island Sensory Flap after Radical Vulvectomy in the Patient with Vulvar Cancer.
- Author:
Soo Young HUR
1
;
Paik Kwon LEE
;
Joo Hee YOON
;
Sung Eun NAMKOONG
;
Jong Sup PARK
Author Information
1. Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea.
- Publication Type:Case Report
- Keywords:
Vulvar cancer;
Radical vulvectomy;
Gluteal fasciocutaneous island sensory flap
- MeSH:
Cicatrix;
Female;
Humans;
Lymph Node Excision;
Necrosis;
Postoperative Complications;
Sensation;
Skin;
Tissue Donors;
Vulva;
Vulvar Neoplasms*
- From:Korean Journal of Obstetrics and Gynecology
2003;46(10):2047-2051
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Invasive carcinoma of the vulva is currently accounting for 3-5% of female genital tract malignancy. Standard treatment for vulvar cancer is radical vulvectomy or radical local excision with inguinal lymphadenectomy. Radical vulvectomy is often complicated by problems associated with inadequate closure of large skin defects leading to postoperative skin necrosis. Adequate morphofunctional reconstruction of the vulva has to be considered as an integral part of treatment of vulvar cancer. The present report describes our experience with the use of gluteal fasciocutaneous island sensory flap in a patient who underwent radical vulvectomy with bilateral inguinal lymphadenectomy for stage II vulvar cancer. There were no postoperative complications. The donor site scar, concealed in the gluteal fold, was acceptable. The neovulva had a relatively normal appearance with satisfactory sensation and function. Based on our experience with gluteal fasciocutaneous island sensory flap, this technique is compatible with inguino-femoral lymphadenectomy, and allows for a adequate morphofunctional reconstruction and provides good local sensibility.
