The gluteal fold fascio-cutaneous flap for reconstruction after radical excision of primary vulvar cancers

Tumeur fibreuse solitaire de la vulve : à propos d’un cas

“…Une chirurgie adaptée est proposée, pouvant être de large exérèse comme pour notre patiente. Actuellement, la chirurgie reconstructrice et réparatrice permet d'effectuer des résections importantes avec une reconstruction cosmétique et fonctionnelle satisfaisante et un taux de complication faible, comme cela est proposé dans les cancers invasifs de la vulve [10]. Il n'existe aucun consensus concernant les marges anatomopathologiques lors de la résection chirurgicale, cependant celle-ci doit être maximale (R0).…”

Postablative reconstruction of vulvar defects with local fasciocutaneous flaps and superficial fascial system repair

“…The fasciocutaneous flaps most commonly used are the mobilised ones from the perineal region due to their high vascularisation and wide mobility: lotus petal flap [21,22], V-Y flap from the pubic region [23], V-Y advancement flap from the gluteal fold [24] and from the medial thigh [25] and pudendal-thigh flap [26].…”

Anterolateral Thigh Flap–Based Reconstruction for Oncologic Vulvar Defects

“…Vulvar defects after tumor extirpation have traditionally been reconstructed with local flaps, such as pudendal thigh flaps, 2-4 gluteal fold flaps, [5][6][7] or V-Y flaps. 8 -10 Although simple to perform with minimal donor-site morbidity, local flaps carry a high incidence of delayed wound healing 11 because local Volume 127, Number 5 • Reconstruction of Vulvar Defects flaps may redistribute but not eliminate local wound tension.…”

“…When the donor site is near the ischium (such as with the pudendal flap), all patients experience some degree of discomfort during sitting. 5 Local flaps are particularly unsuitable in patients with prior radiotherapy and diabetes.…”

“…Simple defects can be reconstructed effectively with local flaps or anterolateral thigh flaps. 2,[5][6][7][8]22 For complicated defects, anterolateral thigh flaps can be elevated with customized dimensions and components tailored for each defect.…”