Different Methods of Reconstruction After Vulvectomies For Cancer of the Vulva

Abstract

Direct wound closure with or without flap-plasty after vulvectomy gives satisfactory cosmetic and functional results. Split thickness skin-grafts seem to be of limited value in the repair of the defects.

Histologic Malignancy Grading in Invasive Squamous Cell Carcinoma of the Vulva

“…We can, therefore, once again confirm that, among patients with invasive carcinoma of the vulva, those without lymph node metastases have a uniquely favorable prognosis. In our investigation, none of the ten patients with a low point score (8)(9)(10)(11)(12)(13)(14) had lymph (20) reported that five patients with stage I disease and 5 mm or less depth of invasion developed no lymph node metastases and were well during a five-year follow-up period. Dipaola'et al (3) reported that four of 22 patients with stage I and a 5 mm or less depth of invasion had lymph node metastases.…”

“…They were all staged according to the TNM-system accepted by the Cancer Committee of FIGO (1). The functional (11) and clinical (6) results of their treatment have already been described. Forty of them with primary carcinomas were admitted for their first treatment and all belonged to stage I (19 cases) and II (21 cases) TiN 0 Mo; TiNiMo and T2N0M0; T2N1M0.…”

Tunneled modified lotus petal flap for surgical reconstruction of severe introital stenosis after radical vulvectomy

“…Postoperative course was uncomplicated and she was discharged on day 5 (see Figs. [1][2][3]. At present, 6 month after the reconstructive surgery, anatomical and cosmetic results are excellent with an adequate introitus (see Fig.…”

“…Skin grafts, which were used in the past times, have been superseded by flap repair mainly because the high risk of infection and the poor cosmetic results. 2 In the vulvoperineal area split skin grafts are also associated with difficult of tissue immobilization during the period of graft take, with concomitant risk of partial failure. Moreover, even when the graft does take, it may not provide stable and robust wound closure.…”

Modified gluteal‐fold flap for the reconstruction of vulvovaginal defects

“…In general, primary closure under tension is frequently associated with wound dehiscence and prolonged healing. Thus, to date, skin grafts 3,4 or various myocutaneous and fasciocutaneous flaps have been used for vulvovaginoperineal reconstruction.…”