Resident Surgeon.
Assistant Professor.
Obstet Gynecol Surv. 2021 Feb;76(2):108-113. doi: 10.1097/OGX.0000000000000866.
Vulvar reconstruction may be required after vulvectomy or any vulvar surgery. Providers should be familiar with techniques for reconstruction to improve clinical outcomes.
This article reviews the different techniques for reconstruction after vulvectomy and describes the decision-making process for selection of appropriate techniques, postoperative care, and expected outcomes.
A literature search was conducted, focusing on the plastic surgery and gynecologic oncology literature, using the following search terms: "vulvar reconstruction," "perineal reconstruction," "vulvectomy," and "vulvar cancer." The search was limited to English publications.
Reconstruction after vulvectomy can be performed using a variety of techniques ranging from simple or complex closure to adjacent tissue rearrangement to skin grafting, locoregional, and free flaps. The appropriate technique is best chosen based on the characteristics of the patient and postablative defect, as well as the reconstructive goals. Postoperative complications are usually minor.
Vulvar reconstruction techniques vary widely and offer patients improved outcomes.
Knowledge of vulvar reconstruction techniques is necessary for gynecologists performing vulvar surgery to ensure optimal patient outcomes.
外阴切除术或任何外阴手术后可能需要进行外阴重建。提供者应熟悉重建技术，以改善临床结果。
本文回顾了外阴切除术后的不同重建技术，并描述了选择合适技术、术后护理和预期结果的决策过程。
进行了文献检索，重点是整形外科学和妇科肿瘤学文献，使用了以下搜索词：“外阴重建”、“会阴重建”、“外阴切除术”和“外阴癌”。搜索范围限于英文出版物。
外阴切除术后的重建可以采用多种技术进行，从简单或复杂的闭合到相邻组织的重新排列，再到植皮、局部和游离皮瓣。最合适的技术最好根据患者和术后缺陷的特点以及重建目标来选择。术后并发症通常较轻。
外阴重建技术差异很大，可为患者提供更好的结果。
进行外阴手术的妇科医生需要了解外阴重建技术，以确保患者获得最佳结果。
