title: Vulvar reconstruction using a mons pubis flap.
abstract: 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.
authors.affiliation: Department of Surgery, Georgetown University Medical Center, Washington, DC 20007.
authors.forename: S L
authors.initials: SL
authors.lastname: Spear
authors.forename: C J
authors.initials: CJ
authors.lastname: Pellegrino
authors.forename: C E
authors.initials: CE
authors.lastname: Attinger
authors.forename: R K
authors.initials: RK
authors.lastname: Potkul
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008722:Methods; D013524:Surgical Flaps; D014844:Vulva / Q000601:surgery*; D014846:Vulvar Neoplasms / Q000601:surgery