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Published on: January 11, 2016
Meshed advancement flap for medium-sized vulvar defects after tumor excision
Ko Kagoyama1, Teruhiko Makino1, Shohei Kitayama1
1Department of Dermatology, Graduate School of Medicine, University of Toyama, 2630 Sugitani, Toyama 930-0194, Japan.
JPRAS Open
|July 12, 2026
Summary
This study introduces a staged reconstruction technique using a meshed advancement flap for superficial vulvar defects. This method offers a practical solution for intermediate-width defects, reducing patient burden and showing no recurrence over 5 years.
Area of Science:
- Gynecologic Oncology
- Plastic Surgery
- Reconstructive Surgery
Background:
- Superficial vulvar defects of intermediate width pose reconstruction challenges.
- Primary closure is often not feasible, while skin grafting or wider flaps increase postoperative burden.
Purpose of the Study:
- To evaluate a staged reconstruction technique using a meshed advancement flap for intermediate-width superficial vulvar defects.
- To assess the safety, efficacy, and long-term outcomes of this reconstructive approach.
Main Methods:
- Three women with superficial vulvar defects after tumor excision underwent staged reconstruction.
- A meshed advancement flap was used following temporary coverage with artificial dermis.
- Reconstruction was performed 21-25 days post-excision after confirming tumor-free margins.
Main Results:
- Defect sizes ranged from 3 × 5 cm to 4 × 10 cm.
- Operative time was 30-40 minutes, with complete epithelialization in 10-14 days.
- Hospital stay for reconstruction was 5-10 days, with no major complications or local recurrence at 5-year follow-up.
Conclusions:
- Staged reconstruction with a meshed advancement flap is a practical option for selected superficial vulvar defects.
- This technique effectively manages intermediate-width defects with minimal complications and good long-term outcomes.