title: Vulvar reconstruction using a "V-Y" fascio-cutaneous gluteal flap: a valid reconstructive alternative in post-oncological loss of substance.
abstract: OBJECTIVE
  We will present our experience in vulvar reconstruction using a local fascio-cutaneous flap, in order to get an easier intra-operative management and a good post-operative outcome.
  
  
  METHODS
  Between May 2006 and December 2008, eight patients with vulvar carcinomas underwent a vulvar reconstruction, using a V-Y advancement flap of the gluteal fold. This fascio-cutaneous flap, based on the perforator vessels originated from the internal pudendal artery, was used for the reconstructive treatment of patients who had undergone a vulvectomy with medium-size defects.
  
  
  RESULTS
  All the 16 flaps prepared survived without major complications. Walking and sitting positions were restored in few post-operative days. Length of hospitalisation was 2-3 weeks. The flaps restored sensitivity few months after surgery. In no case the surgical scars needed being revised.
  
  
  CONCLUSIONS
  The follow-up results proved satisfactory in terms of patients' compliance and morphological results. The flap appeared to be thin, well vascularised and very flexible in its advancement. The post-operative follow-up is characterised by a rapid healing and a low incidence of short- and long-term complications.
authors.affiliation: Department of Plastic Reconstructive Surgery, University of Udine, Udine, Italy. laralazzaro@hotmail.com
authors.forename: Lara
authors.initials: L
authors.lastname: Lazzaro
authors.forename: Gianni Franco
authors.initials: GF
authors.lastname: Guarneri
authors.forename: Emanuele
authors.initials: E
authors.lastname: Rampino Cordaro
authors.forename: Daniele
authors.initials: D
authors.lastname: Bassini
authors.forename: Susanna
authors.initials: S
authors.lastname: Revesz
authors.forename: Guido
authors.initials: G
authors.lastname: Borgna
authors.forename: Pier Camillo
authors.initials: PC
authors.lastname: Parodi
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D014844:Vulva / Q000601:surgery*; D014846:Vulvar Neoplasms / Q000601:surgery*; D014945:Wound Healing