Outcomes of the use of different vulvar flaps for reconstruction during surgery for vulvar cancer

Tock, Stéphanie; Wallet, Jennifer; Belhadia, Marine; Hudry, Délphine; Ghesquière, Louise; Narducci, Fabrice; Leblanc, Éric

doi:10.1016/j.ejso.2019.04.012

Cited by 13 publications

(18 citation statements)

References 28 publications

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“…When reconstruction is necessary, three of the most commonly utilized flaps include the V–Y flap, rhomboid flap, and gluteus maximus myocutaneous flap. 57 …”

Section: Surgical Management Of Vulvar Squamous Cell Carcinomamentioning

confidence: 99%

Cancer of the vulva: 2021 update

Olawaiye

Cuello

Rogers

2021

Intl J Gynecology & Obste

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Vulvar cancer is an uncommon gynecological malignancy primarily affecting postmenopausal women. There is no specific screening and the most effective strategy to reduce vulvar cancer incidence is the opportune treatment of predisposing and preneoplastic lesions associated with its development. While vulvar cancer may be asymptomatic, most women present with vulvar pruritus or pain, or have noticed a lump or ulcer. Therefore, any suspicious vulvar lesion should be biopsied to exclude invasion. Once established, the most common subtype is squamous cell carcinoma. Treatment of vulvar cancer depends primarily on histology and surgical staging. Treatment is predominantly surgical, particularly for squamous cell carcinoma, although concurrent chemoradiation is an effective alternative, particularly for advanced tumors. Management should be individualized and carried out by a multidisciplinary team in a cancer center experienced in the treatment of these tumors.

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“…When reconstruction is necessary, three of the most commonly utilized flaps include the V–Y flap, rhomboid flap, and gluteus maximus myocutaneous flap. 57 …”

Section: Surgical Management Of Vulvar Squamous Cell Carcinomamentioning

confidence: 99%

Cancer of the vulva: 2021 update

Olawaiye

Cuello

Rogers

2021

Intl J Gynecology & Obste

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“…In most vulvar cancers, primary closure is feasible, but reconstructive surgery is recommended in cases of closure of large defects and maintenance of vaginal function. When reconstructive surgery is necessary, the most commonly used flaps are V–Y flap, rhomboid flap, and gluteus maximus myocutaneous flap [ 91 ].…”

Section: Treatmentmentioning

confidence: 99%

Management of Early-Stage Vulvar Cancer

Pedrão

Guimarães

Possati-Resende

et al. 2022

Cancers

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Vulvar cancer is a rare gynecological malignancy since it represents 4% of all cancers of the female genital tract. The most common histological type is squamous cell carcinoma (90%). This type can be classified into two clinicopathological subtypes according to the etiology. The first subtype is associated with persistent human papillomavirus infection and is usually diagnosed in younger women. The second subtype is associated with lichen sclerosus condition, and in most cases is diagnosed in postmenopausal women. Currently, an increase in first subtype cases has been observed, which raised the concern about associated mortality and treatment morbidity among young women. Vulvar cancer treatment depends on histopathology grade and staging, but surgery with or without radiotherapy as adjuvant treatment is considered the gold standard. In recent decades, sentinel lymph node biopsy has been incorporated as part of the treatment. Therefore, we sought to review and discuss the advances documented in the literature about vulvar cancer focusing on the treatment of early-stage disease. Relevant articles, such as the GROINS-V studies and the GOG protocols, are presented in this review. Additionally, we discuss key points such as the evolution of treatment from invasive surgery with high morbidity, to more conservative approaches without compromising oncologic safety; the role of sentinel lymph node mapping in the initial staging, since it reduces the complications caused by inguinofemoral lymphadenectomy; the recurrences rates, since local recurrence is common and curable, however, groin-associated, or distant recurrences have a poor prognosis; and, finally, the long-term follow-up that is essential for all patients.

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“…These reconstructions include advancement flaps and transpositional flaps [6]. The main flaps used are Dufourmentel flap, V-Y, rhomboid, anterolateral thigh (ATL), gluteal thigh flap, lotus, deep inferior epigastric artery perforator (DIEP), vertical rectus abdominis myocutaneous (VRAM) or Taylor flaps [7][8][9]. Selection of the reconstruction type depends on several factors.…”

Section: Introductionmentioning

confidence: 99%

“…Sixty-one patients who underwent vulvar reconstruction with 16 V-Y flap were enrolled. This reconstruction technique appears to have the least incidence of complications, as well as a lower average length of hospitalization and reoperation rate [8]. Giannini et al compared 23 and 41 patients who underwent V-Y gluteal flaps and direct closure, respectively.…”

Section: Introductionmentioning

confidence: 99%