Vulval reconstruction by free tissue transfer. Case report

Srivastava, Shekhar; Maxwell, R. M.

doi:10.1111/j.1471-0528.1991.tb10318.x

Cited by 5 publications

(2 citation statements)

References 10 publications

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“…3 If any are, the radial forearm flap, the latissimus dorsi flap, and the subscapular flaps have been suggested for this. 1,31 RECURRENT ACQUIRED PERINEOVULVAR DEFECTS Both vulvar intraepithelial neoplasia and vulvar squamous cell carcinoma often recur. Up to 50% of all women need more than one intervention for VIN within the first 14 years after initial diagnosis, either for disease persistence or recurrence.…”

Section: Options Of Perineovulvar Reconstructionmentioning

confidence: 99%

Reconstruction of Acquired Perineovulvar Defects: A Proposal of Sequence

Hage

Beurden

2011

Seminars in Plastic Surgery

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Acquired perineovulvar defects are usually the result of excision of vulvar intraepithelial neoplasia (VIN) or invasive squamous cell carcinoma. Because both VIN and vulvar carcinoma have a tendency toward local recurrence, future reconstructive options should be reckoned with during treatment of the primary and all subsequent (pre-) malignant perineovulvar lesions. Hence, a proposal of sequence of reconstructive options for these defects is called for. In cases where local skin flaps suffice, these are preferably designed in such a fashion as not to sever the branches of the internal pudendal vascular system. In cases where either a pudendal thigh flap or an infragluteal flap may be used to close the perineovulvar defect, the pudendal thigh flap is to be preferred to preserve the infragluteal flap for future use. Only when these flaps no longer are available or sufficient to cover the defect should the gluteal thigh flap be applied. The use of myocutaneous flaps is rarely indicated to close isolated superficial perineovulvar defects.

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Section: Options Of Perineovulvar Reconstructionmentioning

confidence: 99%

Reconstruction of Acquired Perineovulvar Defects: A Proposal of Sequence

Hage

Beurden

2011

Seminars in Plastic Surgery

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“…The case report by Srivastava & Maxwell [ Br J Obstet Gynaecol (1991) 98 , 98–100] gives hope for the large number of African and Arab women, who have been subjected to female circumcision, better called genital mutilation, in childhood. Far from dying out, this practice still affects millions of women, although it has usually been shrouded in silence, and attempts to eradicate the practice have met with little success (Ladjali & Toubria 1990).…”

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confidence: 99%