[Vulvar form reconstruction in extended radical vulvectomy of vulvar carcinoma].
OBJECTIVE
To evaluate the method of vulvar reconstruction after extended vulvectomy.


METHODS
Retrospectively, fourteen cases of vulva carcinoma were treated by radical wide local excision, and the defects were repaired with anterolateral thigh flap and inferior pedicle rectus abdominal myocutaneous flap. After the flap was harvested, it was put on the defect through the tunnel between the donor and the recipient site and the vulvae was reconstructed.


RESULTS
All the flaps were survived except 1 anterolateral thigh flap with partial necrosis. One patient was infected at the groin incision but the flap and the grafted skin were survived. The patients were treated with change of the dressing and recovered after skin grafting. All other incisions were healed with first intention. The partial necrosis area was about 4 cm x 6 cm, it healed at 36 postoperative days after free skin grafting. The reconstructed vulvae were plump and elastic. It appeared like the normal vulvae and there was no contraction of the vagina.


CONCLUSIONS
Vulvar reconstruction with the anterolateral thigh flap and rectus abdominal flaps after the radical vulvectomy could make the patients recover easily. It produces almost normal appearance and function of the vulvae, reduces the time of wound healing. The patient could have the next therapy more quickly and the quality of life improves. It has wide application value in clinics.
Sun
Bao-dong
BD
Department of Plastic and Aesthetic Surgery, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing 100730, China.
Wu
Ming
M
Shen
Keng
K
Pan
Ling-ya
LY
Huang
Hui-fang
HF
Yan
Ying-jun
YJ
Zhang
Hai-lin
HL
Wang
Xian-cheng
XC
Zhao
Ru
R
Qiao
Qun
Q
D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D016038:Skin Transplantation / Q000379:methods; D013524:Surgical Flaps; D013848:Thigh / Q000601:surgery; D014844:Vulva / Q000098:blood supply / Q000473:pathology / Q000601:surgery*; D014846:Vulvar Neoplasms / Q000601:surgery*