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Modifield musculocutaneous gracilis flap A case report.
Annali Italiani Di Chirurgia
|October 17, 2019
Summary
A modified gracilis flap offers a viable solution for vulvo-perineal reconstruction after conservative vulvectomy. This approach provides excellent patient satisfaction and functional outcomes for asymmetrical defects.
Area of Science:
- Reconstructive surgery
- Gynecologic oncology
Background:
- Invasive vulvar carcinoma treatment is shifting from radical surgery to conservative approaches.
- Fasciocutaneous flaps are common for vulvo-perineal defects, but asymmetrical defects pose challenges.
Purpose of the Study:
- To present a case of bilateral conservative vulvectomy reconstructed with a unilateral modified gracilis flap.
- To evaluate the efficacy of this technique for asymmetrical vulvo-perineal defects.
Main Methods:
- Conservative bilateral vulvectomy was performed.
- A unilateral modified gracilis flap with a V-shaped incision was utilized for reconstruction.
- The flap was designed to fit the defect around the remaining vulvar skin.
Main Results:
- The patient reported high satisfaction with the cosmetic and functional outcome.
- No complications such as pain, defecation, urination, or ambulation issues were reported.
- The modified gracilis flap successfully reconstructed the asymmetrical vulvo-perineal defect.
Conclusions:
- The modified gracilis flap is a suitable reconstructive option for asymmetrical vulvo-perineal defects.
- This technique offers good functional and aesthetic results in patients undergoing conservative vulvectomy.
