title: Trans-pubic abdominal flap for reconstruction of the labia majora.
abstract: A flap is described for recreation of the labia majora. The flap was designed for a young woman who developed vulvar squamous cell carcinoma in-situ after immunosuppression for treatment of juvenile rheumatoid arthritis. The patient underwent removal of the labia majora, and was reconstructed with a bi-lobed abdominal flap tunneled through the mons pubis. The flap produced a normal genital contour and has functioned well to seven years follow-up.
authors.affiliation: Department of Surgery, East Tennessee State University, 325 North State of Franklin Road, Johnson City, TN 37604, USA. haynesd@etsu.edu
authors.forename: Daniel F
authors.initials: DF
authors.lastname: Haynes
mesh_terms: D000293:Adolescent; D001171:Arthritis, Juvenile / Q000188:drug therapy; D002278:Carcinoma in Situ / Q000209:etiology / Q000601:surgery*; D002294:Carcinoma, Squamous Cell / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D007166:Immunosuppressive Agents / Q000009:adverse effects; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D014846:Vulvar Neoplasms / Q000209:etiology / Q000601:surgery*
chemical_list: D007166:Immunosuppressive Agents