Meshed advancement flap for medium-sized vulvar defects after tumor excision

Superficial vulvar defects of intermediate width are difficult to reconstruct when primary closure is not feasible and skin grafting or wider flap surgery may increase postoperative burden. We report 3 women who underwent staged reconstruction with a meshed advancement flap after tumor excision. Following temporary coverage with artificial dermis, reconstruction was performed 21-25 days later after confirmation of tumor-free margins. Defects measured 3 × 7, 3 × 5, and 4 × 10 cm. Operative time was 30-40 min, complete epithelialization occurred 10-14 days after reconstruction, and hospital stay for reconstruction was 5-10 days. No major complications or local recurrence during 5 years of follow-up were observed. This technique may offer a practical option for selected superficial vulvar defects of intermediate width.