A Review of Reconstruction for Vulvar Cancer Surgery

Area of Science:

• Plastic Surgery
• Gynecologic Oncology

Background:

• Vulvar reconstruction is essential following vulvectomy or other vulvar surgeries.
• Healthcare providers need expertise in reconstruction techniques to enhance patient outcomes.

Purpose of the Study:

• To review vulvar reconstruction techniques post-vulvectomy.
• To outline the decision-making process for technique selection, postoperative care, and outcomes.

Main Methods:

• Literature search of plastic surgery and gynecologic oncology journals.
• Keywords included: "vulvar reconstruction," "perineal reconstruction," "vulvectomy," and "vulvar cancer."
• English-language publications were prioritized.

Main Results:

• Reconstruction options range from simple closure to tissue rearrangement, skin grafts, and flaps (locoregional and free).
• Technique selection depends on patient characteristics, defect size, and reconstructive goals.
• Postoperative complications are generally minor.

Conclusions:

• A wide array of vulvar reconstruction techniques are available.
• These techniques contribute to improved patient outcomes.
• Gynecologists performing vulvar surgery must be knowledgeable in reconstruction for optimal results.