[Vulvar reconstruction using gracilis myocutaneous flaps after radical vulvectomy].

OBJECTIVE

To introduce the method using the gracilis myocutaneous flaps to repair of vulvar defect after radical vulvectomy.

METHODS

The gracilis myocutaneous flaps were applied in 4 cases with vulvar carcinoma which located vestibule of vulva and bulk, and the carcinoma was large after radical resection to repair vulvar defect simultaneously.

RESULTS

The incision of 3 cases was healing by first intention, and 1 case with type II diabetes mellitus was healing by second intention. After followed up 3-6 years, 1 case was recurrent in 2 years after operation, 3 cases were survival without complication.

CONCLUSION

Vulvar reconstruction with the use of gracilis myocutaneous flaps in radical vulvectomy could markedly decrease the rate of complication.