title: Vulvo-perineal reconstruction: medial thigh septo-fascio-cutaneous island flap.
abstract: From 1996 through 2001, the authors performed 26 vulvo-perineal reconstructions after vulvar cancer resection. A unilateral or bilateral medial thigh septo-fascio-cutaneous island flap was used in all cases. The vascular supply to this flap is guaranteed by the underlying fascial plexus that arises from the convergence of three longitudinal rows of vessels (anterior, medial, and posterior). The flap is fashioned in a triangle shape and incorporates the underlying muscular fascia, sparing the intermuscular septal perforators. It is advanced in a V-Y fashion and is easily adapted and secured to the recipient site. Competent urethral and anal meati are reconstructed with multiple intercalated flaps. Scarring at the donor site is limited and acceptable. The nerve supply guarantees acceptable sensation at the reconstructed area. The medial thigh septo-fascio-cutaneous flap allows a valid one-stage vulvo-perineal reconstruction with a simple surgical execution process after superficial soft tissue resections.
authors.affiliation: Division of Plastic Surgery, Campus Bio Medico University, Rome, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Persichetti
authors.forename: Pierfranco
authors.initials: P
authors.lastname: Simone
authors.forename: Marco
authors.initials: M
authors.lastname: Berloco
authors.forename: Renato Muccioli
authors.initials: RM
authors.lastname: Casadei
authors.forename: Giovanni Francesco
authors.initials: GF
authors.lastname: Marangi
authors.forename: Barbara
authors.initials: B
authors.lastname: Cagli
authors.forename: Filippo
authors.initials: F
authors.lastname: Di Lella
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D010502:Perineum / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods; D013524:Surgical Flaps / Q000098:blood supply; D014844:Vulva / Q000601:surgery*; D014846:Vulvar Neoplasms / Q000601:surgery