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[Vulvar reconstruction using gracilis myocutaneous flaps after radical vulvectomy]
1Department of Obstetrics and Gynecology, Second University Hospital, West China University of Medical Sciences, Chengdu, Sichuan, P. R. China 610041.
Objective:
To introduce the method using the gracilis myocutaneous flaps to repair of vulvar defect after radical vulvectomy.
Methods:
The gracilis myocutaneous flaps were applied in 4 cases with vulvar carcinoma which located vestibule of vulva and bulk, and the carcinoma was large after radical resection to repair vulvar defect simultaneously.
Results:
The incision of 3 cases was healing by first intention, and 1 case with type II diabetes mellitus was healing by second intention. After followed up 3-6 years, 1 case was recurrent in 2 years after operation, 3 cases were survival without complication.
Conclusion:
Vulvar reconstruction with the use of gracilis myocutaneous flaps in radical vulvectomy could markedly decrease the rate of complication.