Helm C W, Hatch K D, Partridge E E, Shingleton H M
Division of Gynecologic Oncology, Temple University, Philadelphia, Pennsylvania 19140.
Gynecol Oncol. 1993 Aug;50(2):164-7. doi: 10.1006/gyno.1993.1186.
A detailed account is given of experience at a single institution with the rhomboid transposition flap used to repair the perineal defect after surgery for carcinoma of the vulva. In 13 of 15 assessable cases, the flaps healed completely or had insignificant separation of a segment of the flap. In 2 cases, more major breakdown occurred in association with infection, but in both cases, satisfactory healing occurred without further surgery. In 14 cases, passage of a speculum and inspection of the vagina was possible at follow-up and only 1 patient experienced introital stenosis.
详细介绍了某一机构使用菱形转位皮瓣修复外阴癌手术后会阴缺损的经验。在15例可评估病例中的13例，皮瓣完全愈合或皮瓣部分仅有轻微分离。2例出现更严重的创口裂开并伴有感染，但在这两例中，未经进一步手术即实现了满意的愈合。14例在随访时可以通过阴道窥器检查阴道，只有1例患者出现阴道口狭窄。
