Utilizing V-Y fasciocutaneous advancement flaps for vulvar reconstruction

We aimed to analyze the outcomes of patients who underwent vulvectomy with subsequent V-Y fasciocutaneous flap reconstruction. All medical records of all patients who underwent vulvectomies with V-Y fasciocutaneous flap reconstruction from January 2007 to June 2016 were retrospectively reviewed. Pat...

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Bibliographic Details
Published in:Gynecologic oncology reports 2018-11, Vol.26, p.24-28
Main Authors: Hand, Lauren C, Maas, Talia M, Baka, Nadia, Mercier, Rebecca J, Greaney, Patrick J, Rosenblum, Norman G, Kim, Christine H
Format: Article
Language:English
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Case Series
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Summary:We aimed to analyze the outcomes of patients who underwent vulvectomy with subsequent V-Y fasciocutaneous flap reconstruction. All medical records of all patients who underwent vulvectomies with V-Y fasciocutaneous flap reconstruction from January 2007 to June 2016 were retrospectively reviewed. Patient clinical and surgical data, demographics, and outcomes were abstracted. Of the 27 patients, 42 flaps were transferred. A simple vulvectomy was performed in 8 (30%) patients, partial radical vulvectomy in 15 (56%), and radical vulvectomy in 4 (15%). The median area of defect was 30 cm . Minor wound separations occurred in 9 patients (33%). Infectious complications occurred in 4 patients (15%); this included urinary tract infections in 2 (50%), postoperative fevers in 2 (50%), and sepsis in 1 (25%) patient with a UTI. There were no instances of flap necrosis, wound dehiscence, or wound infections. Black race was more likely to be associated with an infectious complication with 3 (75%) patients, compared to white race with 1 (4%) patient (  
ISSN:2352-5789
2352-5789
DOI:10.1016/j.gore.2018.08.007