[Expanded possibilities of the treatment of vulvar cancer by plastic reconstructive procedures]

By means of 5 examples it is demonstrated, in which way large defects in the vulvar region can be covered plastically. Dependent on the situation a simple local tissue displacement (according to the principle of transpositionplasty) or a myocutaneous flapplasty using the m. tensor fasciae latae or the m. gluteus maximus will be favourable. These expanded possibilities for treatment of carcinoma of the vulva by own experiences are so convincing, that their application is recommendable on a larger scale and will be an enrichment in operative gynaecology. The techniques described can be used by gynaecologists with appropriate operative and clinical experience.