Rectus femoris myocutaneous flap for vulvoperineal reconstruction

Gynecologic Oncology
Richard J CardosiDaniel Greenwald

Abstract

Many reconstructive procedures for large vulvoperineal defects have been described. The present report describes the use of the rectus femoris myocutaneous flap, which has not previously been described for this purpose. A 52-year-old woman suffered a local recurrence of a Bartholin's gland carcinoma after anterior exenteration and pubectomy. A palliative resection was performed which resulted in a large vulvoperineal defect with transpelvic herniation of the peritoneal contents. This was immediately reconstructed with a rectus femoris myocutaneous flap. Her postoperative course and healing were uneventful. This technique is an alternative method for vulvar reconstruction. It is especially useful for large defects when a gracilis or rectus abdominis flap is not available.

References

Nov 1, 1978·Plastic and Reconstructive Surgery·B M BhagwatD R Laub
Nov 1, 1990·British Journal of Obstetrics and Gynaecology·J H ShepherdN Breach
May 1, 1995·Gynecologic Oncology·T W BurkeD M Gershenson
Dec 22, 1999·Plastic and Reconstructive Surgery·M S Matthews

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Citations

Nov 13, 2013·Gynecologic Oncology·Pierluigi Benedetti PaniciLudovico Muzii
Jul 15, 2009·Gynecologic Oncology·Jeffrey M Fowler
May 20, 2014·Gynecologic Oncology·Albert H ChaoJeffrey M Fowler
May 31, 2008·The Lancet Oncology·Michael Höckel, Nadja Dornhöfer

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