Vulvar reconstruction using a mons pubis flap.
A mons pubis flap was used to reconstruct vulvar defects in 4 patients. This is an axial-pattern flap based on the superficial external pudendal vessels. Our cadaver injection studies demonstrated the vascular anatomy of the flap, which encompasses both a primary and a secondary vascular territory. Four patients were reconstructed, with excellent cosmetic results. The flap provides pliable, hair-bearing skin that resembles the normal vulva. The donor defect is inconspicuous and well hidden in the pubic hair. The flap is a reconstructive option for appropriate patients with full-thickness vulvar defects.
Spear
S L
SL
Department of Surgery, Georgetown University Medical Center, Washington, DC 20007.
Pellegrino
C J
CJ
Attinger
C E
CE
Potkul
R K
RK
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008722:Methods; D013524:Surgical Flaps; D014844:Vulva / Q000601:surgery*; D014846:Vulvar Neoplasms / Q000601:surgery