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Related Experiment Videos

Labia Majora Share.

Hanjing Lee1, Yan Lin Yap1, Jeffrey Jen Hui Low2

  • 1Division of Plastic, Reconstructive and Aesthetic Surgery, Department of General Surgery, National University Health System, Singapore.

Archives of Plastic Surgery
|February 15, 2017
PubMed
Summary
This summary is machine-generated.

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This study introduces a novel vulvar reconstruction technique using a labia majora sharing flap for defects after cancer removal. This method offers a reliable, like-with-like reconstruction for carefully selected patients.

Area of Science:

  • Reconstructive Surgery
  • Gynecologic Oncology
  • Lymphedema Management

Background:

  • Specialized anatomical areas often require reconstructive techniques like sharing procedures.
  • The vulva, a complex structure, can be reconstructed using contralateral vulvar tissue.
  • Chronic lymphedema can rarely be associated with vulvar squamous cell carcinoma.

Purpose of the Study:

  • To present a novel case of vulvar reconstruction.
  • To describe a labia majora sharing procedure for radical vulvectomy defects.
  • To highlight a unique approach to managing vulvar cancer in the context of chronic lymphedema.

Main Methods:

  • A patient with chronic lymphedema and subsequent vulvar squamous cell carcinoma underwent radical vulvectomy.
  • A novel labia majora sharing flap, based on the dorsal clitoral artery, was utilized for reconstruction.
Keywords:
Carcinoma, squamous cellLymphedemaPerineum

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  • The flap is a transposition flap designed for durability and reliability.

    • Main Results:

    • The labia majora sharing procedure provided a novel and previously undescribed method for vulvectomy defect reconstruction.
    • The flap demonstrated durability and reliability due to consistent vascular anatomy.
    • The procedure allowed for 'like with like' reconstruction with minimal donor site morbidity.

    Conclusions:

    • The labia majora sharing procedure is a viable reconstructive option for carefully selected patients with vulvar defects.
    • This technique preserves other locoregional flap options for potential future use.
    • A lax contralateral vulva is a prerequisite for this reconstructive approach.