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.
Hand, Lauren C.; Maas, Talia; Baka, Nadia; Mercier, Rebecca J.; Greaney, Patrick J.; Rosenblum, Norman G.; and Kim, Christine H., "Utilizing V-Y fasciocutaneous advancement flaps for vulvar reconstruction." (2018). Department of Obstetrics and Gynecology Faculty Papers. Paper 49.
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