Hatoko M, Okazaki T, Tada H, Kuwahara M, Shiba A, Muramatsu T, Shirai T
Division of Plastic Surgery, Nara Medical University, Japan.
Ann Plast Surg. 1997 Feb;38(2):179-83. doi: 10.1097/00000637-199702000-00015.
Two female patients with vulval skin defects after extramammary Paget's disease were reconstructed using a pedicled, distally based rectus abdominis musculocutaneous flap. After the operation, the bulkiness of the flap, which might be a major problem in the application for a vulval skin defect, was improved successfully by flap volume reduction with secondary liposuction. We conclude that rectus abdominis musculocutaneous flap transfer with secondary liposuction is one of the acceptable methods for reconstructing vulval skin defects.
两名患有乳房外佩吉特病后出现外阴皮肤缺损的女性患者，采用带蒂、远端为基底的腹直肌肌皮瓣进行重建。术后，通过二期吸脂减少皮瓣体积，成功改善了皮瓣臃肿问题，而皮瓣臃肿可能是外阴皮肤缺损应用中的一个主要问题。我们得出结论，腹直肌肌皮瓣转移联合二期吸脂是重建外阴皮肤缺损的可接受方法之一。
