Wang P, Peng Z L, Chen A P
Department of Obstetrics and Gynecology, Second University Hospital, West China University of Medical Sciences, Chengdu, Sichuan, P. R. China 610041.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 1999 Jul;13(4):242-3.
To introduce the method using the gracilis myocutaneous flaps to repair of vulvar defect after radical vulvectomy.
The gracilis myocutaneous flaps were applied in 4 cases with vulvar carcinoma which located vestibule of vulva and bulk, and the carcinoma was large after radical resection to repair vulvar defect simultaneously.
The incision of 3 cases was healing by first intention, and 1 case with type II diabetes mellitus was healing by second intention. After followed up 3-6 years, 1 case was recurrent in 2 years after operation, 3 cases were survival without complication.
Vulvar reconstruction with the use of gracilis myocutaneous flaps in radical vulvectomy could markedly decrease the rate of complication.