title: [Vulvar reconstruction using gracilis myocutaneous flaps after radical vulvectomy].
abstract: OBJECTIVE
  To introduce the method using the gracilis myocutaneous flaps to repair of vulvar defect after radical vulvectomy.
  
  
  METHODS
  The gracilis myocutaneous flaps were applied in 4 cases with vulvar carcinoma which located vestibule of vulva and bulk, and the carcinoma was large after radical resection to repair vulvar defect simultaneously.
  
  
  RESULTS
  The incision of 3 cases was healing by first intention, and 1 case with type II diabetes mellitus was healing by second intention. After followed up 3-6 years, 1 case was recurrent in 2 years after operation, 3 cases were survival without complication.
  
  
  CONCLUSIONS
  Vulvar reconstruction with the use of gracilis myocutaneous flaps in radical vulvectomy could markedly decrease the rate of complication.
authors.affiliation: Department of Obstetrics and Gynecology, Second University Hospital, West China University of Medical Sciences, Chengdu, Sichuan, P. R. China 610041.
authors.forename: P
authors.initials: P
authors.lastname: Wang
authors.forename: Z L
authors.initials: ZL
authors.lastname: Peng
authors.forename: A P
authors.initials: AP
authors.lastname: Chen
mesh_terms: D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D014844:Vulva / Q000601:surgery*; D014846:Vulvar Neoplasms / Q000601:surgery*