Utilizing V-Y fasciocutaneous advancement flaps for vulvar reconstruction.
OBJECTIVES: We aimed to analyze the outcomes of patients who underwent vulvectomy with subsequent V-Y fasciocutaneous flap reconstruction.
METHODS: All medical records of all patients who underwent vulvectomies with V-Y fasciocutaneous flap reconstruction from January 2007 to June 2016 were retrospectively reviewed. Patient clinical and surgical data, demographics, and outcomes were abstracted.
RESULTS: Of the 27 patients, 42 flaps were transferred. A simple vulvectomy was performed in 8 (30%) patients, partial radical vulvectomy in 15 (56%), and radical vulvectomy in 4 (15%). The median area of defect was 30 cm
CONCLUSIONS: The use of a V-Y fasciocutaneous advancement flap for vulvar reconstruction is safe and associated with mostly minor complications. Infectious complications were more frequently associated with diabetes, black race, and HIV.
Published In/Presented At
Hand, L. C., Maas, T. M., Baka, N., Mercier, R. J., Greaney, P. J., Rosenblum, N. G., & Kim, C. H. (2018). Utilizing V-Y fasciocutaneous advancement flaps for vulvar reconstruction. Gynecologic oncology reports, 26, 24–28. https://doi.org/10.1016/j.gore.2018.08.007
Medicine and Health Sciences
Department of Obstetrics and Gynecology