Profunda artery perforator based V-Y rotation advancement flap for total vulvectomy defect reconstruction—A case report and literature review

Yen Chou Chen, Mario F. Scaglioni, Yur Ren Kuo

Research output: Contribution to journalJournal Article peer-review

11 Scopus citations

Abstract

Reconstruction of total vulvectomy defect represents a challenge, and reconstructive methods include skin graft, local skin flap, musculocutanous flap, and pedicled perforator flap. We report a case of a 63-year-old patient affected by extramammary Paget's disease of vulva who underwent total vulvectomy receiving reconstruction with bilateral profunda artery perforator based V-Y rotation advancement flap. The literature about vulva reconstruction was reviewed. This innovative flap design combined the classic rotation flap and V-Y advancement flap with inclusion of the profunda artery perforators to augment the flap blood supply. Besides, the internal pudendal nerve was preserved to maintain the sensation of the neo-uvula. The flap survived completely without major post-operative complications with 9-months follow-up. Profunda artery perforator based V-Y rotation advancement flap may represent a valuable option in total vulvectomy defect reconstruction.

Original languageEnglish
Pages (from-to)668-671
Number of pages4
JournalMicrosurgery
Volume35
Issue number8
DOIs
StatePublished - 01 11 2015

Bibliographical note

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© 2015 Wiley Periodicals, Inc.

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