Korean J Obstet Gynecol.  2003 Oct;46(10):2047-2051.

A Case of Vulvar reconstruction with Gluteal Fasciocutaneous Island Sensory Flap after Radical Vulvectomy in the Patient with Vulvar Cancer

• Hur SY
• Lee PK
• Yoon JH
• Namkoong S
• Park JS

Abstract

Invasive carcinoma of the vulva is currently accounting for 3-5% of female genital tract malignancy. Standard treatment for vulvar cancer is radical vulvectomy or radical local excision with inguinal lymphadenectomy. Radical vulvectomy is often complicated by problems associated with inadequate closure of large skin defects leading to postoperative skin necrosis. Adequate morphofunctional reconstruction of the vulva has to be considered as an integral part of treatment of vulvar cancer. The present report describes our experience with the use of gluteal fasciocutaneous island sensory flap in a patient who underwent radical vulvectomy with bilateral inguinal lymphadenectomy for stage II vulvar cancer. There were no postoperative complications. The donor site scar, concealed in the gluteal fold, was acceptable. The neovulva had a relatively normal appearance with satisfactory sensation and function. Based on our experience with gluteal fasciocutaneous island sensory flap, this technique is compatible with inguino-femoral lymphadenectomy, and allows for a adequate morphofunctional reconstruction and provides good local sensibility.

Keyword

Vulvar cancer; Radical vulvectomy; Gluteal fasciocutaneous island sensory flap

MeSH Terms

Cicatrix
Female
Humans
Lymph Node Excision
Necrosis
Postoperative Complications
Sensation
Skin
Tissue Donors
Vulva
Vulvar Neoplasms*