Better anatomical and cosmetic results using tunneled lotus petal flap for plastic reconstruction after demolitive surgery for vulvar malignancyc

Alessandro Buda, Pier Luigi Confalonieri, Luca Carlo Vittorio Rovati, Robert Fruscio, Daniela Giuliani, Mauro Signorelli, Tiziana Dell'Anna, Cecilia Pirovano, Rodolfo Milani

Research output: Contribution to journalArticle

Abstract

Objective: To evaluate the efficacy of tunneled lotus petal flap in terms of anatomical and cosmetic results in patients who underwent vulvoperineal reconstruction for vulvar malignancy. Methods: Between March 2010 and July 2011, 22 women underwent vulvoperineal reconstruction using tunneled lotus petal flap for primary or recurrent disease at San Gerardo Hospital, Monza. In 16 cases, lotus flaps were bilateral, whereas in 6 cases, they were monolateral. Results: The median age was 72 years (range, 53Y87 years). The mean operating time was 85 minutes. The mean length of follow-up was 10 months (range, 2Y16 months). Postoperative complications occurred in 2 patients, including one case of partial flap necrosis and one case of donor site breakdown. Conclusions: Tunneled lotus petal flap is safe, easy and fast to perform, has a low rate of complications, and good functional and cosmetic results. This technique represents an optimal solution for plastic reconstruction in case of primary or recurrent vulvar disease, or in case of introital stenosis after primary inadequate closure.

Original languageEnglish
Pages (from-to)860-864
Number of pages5
JournalInternational Journal of Gynecological Cancer
Volume22
Issue number5
DOIs
Publication statusPublished - Jun 2012

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Cosmetics
Vulvar Diseases
Pathologic Constriction
Necrosis
Tissue Donors
Neoplasms

Keywords

  • Plastic surgery
  • Tunneled lotus petal flap
  • Vulvar neoplasm

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Oncology

Cite this

Better anatomical and cosmetic results using tunneled lotus petal flap for plastic reconstruction after demolitive surgery for vulvar malignancyc. / Buda, Alessandro; Confalonieri, Pier Luigi; Rovati, Luca Carlo Vittorio; Fruscio, Robert; Giuliani, Daniela; Signorelli, Mauro; Dell'Anna, Tiziana; Pirovano, Cecilia; Milani, Rodolfo.

In: International Journal of Gynecological Cancer, Vol. 22, No. 5, 06.2012, p. 860-864.

Research output: Contribution to journalArticle

Buda, Alessandro ; Confalonieri, Pier Luigi ; Rovati, Luca Carlo Vittorio ; Fruscio, Robert ; Giuliani, Daniela ; Signorelli, Mauro ; Dell'Anna, Tiziana ; Pirovano, Cecilia ; Milani, Rodolfo. / Better anatomical and cosmetic results using tunneled lotus petal flap for plastic reconstruction after demolitive surgery for vulvar malignancyc. In: International Journal of Gynecological Cancer. 2012 ; Vol. 22, No. 5. pp. 860-864.
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