Repair of the perineal defect after radical vulvar surgery: Direct closure versus skin flaps reconstruction - A retrospective comparative study

F. Landoni, M. Proserpio, A. Maneo, G. Cormio, G. Zanetta, R. Milani

Research output: Contribution to journalArticle

Abstract

From 1987 to 1990, 72 consecutive patients with primary untreated vulvar cancer underwent radical vulvar surgery with skin flaps reconstruction of the perineal defect. Postoperative complications, anatomical and functional results of this group of patients were compared with those of an historical control group of 77 patients submitted, at the same institution, to radical vulvectomy without reconstructive procedure from 1982 through 1986. The time of operation was significantly longer (180 minutes ± 15 versus 120 minutes ± 20) (p = 0.05) for patients submitted to the reconstructive procedure, while there was no statistically significant difference in intraoperative blood loss and hospital stay between the 2 groups. In comparison with direct closure, reconstructive procedures resulted in a significant lower rate of wound dehiscences (26% versus 64%) (p = 0.0001), vaginal introitus stenosis (2 versus 8) (p = 0.0001), sexual dysfunction (10% versus 50%) (p = 0.0001) and misdirection of the urinary stream (1 versus 5) (p = 0.001). It was concluded that skin flaps reconstruction is simple, reduces postoperative morbidity, and provides better anatomical and functional results than direct closure of the perineal defect.

Original languageEnglish
Pages (from-to)300-304
Number of pages5
JournalAustralian and New Zealand Journal of Obstetrics and Gynaecology
Volume35
Issue number3
Publication statusPublished - 1995

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Retrospective Studies
Skin
Dermatologic Surgical Procedures
Vulvar Neoplasms
Length of Stay
Pathologic Constriction
Morbidity
Control Groups
Wounds and Injuries

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Repair of the perineal defect after radical vulvar surgery : Direct closure versus skin flaps reconstruction - A retrospective comparative study. / Landoni, F.; Proserpio, M.; Maneo, A.; Cormio, G.; Zanetta, G.; Milani, R.

In: Australian and New Zealand Journal of Obstetrics and Gynaecology, Vol. 35, No. 3, 1995, p. 300-304.

Research output: Contribution to journalArticle

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AU - Zanetta, G.

AU - Milani, R.

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