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Vulvar reconstruction using a mons pubis flap

S L Spear1, C J Pellegrino, C E Attinger

  • 1Department of Surgery, Georgetown University Medical Center, Washington, DC 20007.

Annals of Plastic Surgery
|June 1, 1994
PubMed
Summary
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A novel mons pubis flap, based on superficial external pudendal vessels, effectively reconstructs vulvar defects. This technique offers excellent cosmetic outcomes and natural-looking, hair-bearing skin for patients.

Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Anatomy

Background:

  • Vulvar defects often require complex reconstruction.
  • Current reconstructive options may have limitations in achieving optimal cosmetic and functional results.
  • The mons pubis flap has not been extensively studied for vulvar reconstruction.

Observation:

  • Cadaver injection studies revealed the vascular anatomy of the mons pubis flap.
  • The flap utilizes the superficial external pudendal vessels, supplying a primary and secondary vascular territory.
  • The flap provides pliable, hair-bearing skin suitable for vulvar reconstruction.

Findings:

  • Four patients underwent successful vulvar defect reconstruction using the mons pubis flap.
  • Excellent cosmetic results were achieved in all cases.

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  • The flap offers a natural appearance, resembling normal vulvar skin and hair.

    • Implications:

    • The mons pubis flap is a viable reconstructive option for full-thickness vulvar defects.
    • The donor site is inconspicuous, minimizing aesthetic concerns.
    • This technique enhances reconstructive possibilities in vulvar surgery, improving patient outcomes.