Reconstruction of vulva using pudendal thigh gluteal fold bilobed flap.
In reconstructing a large defect of the vulva, we combined the gluteal fold and the pudendal thigh flaps and made a bilobed flap. Using this gluteal fold pudendal thigh bilobed flap, we reconstructed a vagina with sufficient depth and width. The surrounding skin defect was simultaneously reconstructed. Sensation was intact in all areas of the reconstruction. In addition, the sutured lines of both donor sites are hidden in the gluteal and inguinal folds. Thus, the gluteal fold pudendal thigh bilobed flap seems to be ideal for reconstructing large vulvar defects.
Ninomiya
Ruka
R
Department of Plastic and Reconstructive Surgery, Keio University, 35 Shinanomachi, Shinjukuku, Tokyo 160 8582, Japan.
Kishi
Kazuo
K
Imanishi
Nobuaki
N
Nakajima
Hideo
H
Nakajima
Tatsuo
T
D000328:Adult; D002081:Buttocks / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005260:Female; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D014625:Vaginal Neoplasms / Q000601:surgery*; D014844:Vulva / Q000601:surgery*