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Vulvar reconstruction using a mons pubis pedicle flap
R K Potkul1, W A Barnes, J F Barter
1Department of Obstetrics and Gynecology, Loyola University of Chicago, Maywood, Illinois 60153.
Gynecologic Oncology
|October 1, 1994
Summary
This study introduces a new mons pubis flap for vulvar cancer reconstruction. The technique offers safe, reliable, and cosmetically superior results, preserving sexual function after radical hemivulvectomy.
Area of Science:
- Gynecologic Oncology
- Plastic and Reconstructive Surgery
Background:
- Treatment for early vulvar carcinoma is evolving towards less radical surgical approaches combined with reconstruction.
- Reconstruction aims to improve both functional and aesthetic outcomes post-surgery.
Purpose of the Study:
- To evaluate the preliminary experience and outcomes of using a mons pubis flap for reconstruction after radical hemivulvectomy in early vulvar carcinoma patients.
- To assess the safety, reliability, cosmetic, and functional results of this reconstructive technique.
Main Methods:
- A mons pubis pedicle flap was utilized for reconstruction in four patients following radical hemivulvectomy.
- The procedure involves harvesting pliable, hair-bearing skin from the mons pubis to reconstruct the vulvar defect.
Main Results:
- All four patients demonstrated excellent cosmetic and functional outcomes.
- The mons pubis flap successfully mimicked the contralateral normal side, contributing to good sexual function.
- The procedure was found to be simple, safe, and reliable.
Conclusions:
- The mons pubis pedicle flap is a viable and effective reconstructive option following radical hemivulvectomy for early vulvar carcinoma.
- This technique offers excellent cosmetic results and preserves sexual function, making it a valuable consideration for patients desiring optimal aesthetic outcomes.