Abstract
Repair of the perineal defect represents a major problem in patients undergoing radical vulvar surgery. From September 1986 to December 1990, 72 consecutive patients with primary untreated vulvar neoplasia underwent radical vulvar surgery with skin flap reconstruction of the perineal defect. Sixty-three patients had bilateral rhomboid flaps, and 9 had unilateral flap. In 33 eases, because of the wide anterior surgical defect, an LLL flap of Dufourmentel also was used to cover the mons pubis area. In 19 patients (26%), wound dehiscence was observed in the reconstructed area, with a maximum extension of 70% of the entire wound length (mean extension 30%). However, in all but 2 cases, satisfactory healing occurred without further surgery. Two patients experienced introital stenosis. Of the 33 sexually active patients, 30 (90%) reported sexual intercourse to be satisfactory after surgery, with no significant disruption in sexual activity during the follow-up period. No patient experienced fecal incontinence. Two patients complained of urinary incontinence, and 1 patient had misdirection of the stream postoperatively. The reconstruction of the perineal area resulted in all cases in a good anatomic effect, with the recreation of a soft perineal body. Flap reconstruction after radical vulvar surgery reduces postoperative morbidity and allows good anatomic and functional results.
| Original language | English |
|---|---|
| Pages (from-to) | 165-171 |
| Number of pages | 7 |
| Journal | Journal of Gynecologic Surgery |
| Volume | 11 |
| Issue number | 3 |
| Publication status | Published - 1995 |
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ASJC Scopus subject areas
- Obstetrics and Gynaecology
Cite this
Skin flap reconstruction of the perineal defect after radical vulvar surgery. / Landoni, F.; Proserpio, M.; Maneo, A.; Cormio, G.; Zanetta, G.; Lissoni, A.; Mangioni, C.
In: Journal of Gynecologic Surgery, Vol. 11, No. 3, 1995, p. 165-171.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Skin flap reconstruction of the perineal defect after radical vulvar surgery
AU - Landoni, F.
AU - Proserpio, M.
AU - Maneo, A.
AU - Cormio, G.
AU - Zanetta, G.
AU - Lissoni, A.
AU - Mangioni, C.
PY - 1995
Y1 - 1995
N2 - Repair of the perineal defect represents a major problem in patients undergoing radical vulvar surgery. From September 1986 to December 1990, 72 consecutive patients with primary untreated vulvar neoplasia underwent radical vulvar surgery with skin flap reconstruction of the perineal defect. Sixty-three patients had bilateral rhomboid flaps, and 9 had unilateral flap. In 33 eases, because of the wide anterior surgical defect, an LLL flap of Dufourmentel also was used to cover the mons pubis area. In 19 patients (26%), wound dehiscence was observed in the reconstructed area, with a maximum extension of 70% of the entire wound length (mean extension 30%). However, in all but 2 cases, satisfactory healing occurred without further surgery. Two patients experienced introital stenosis. Of the 33 sexually active patients, 30 (90%) reported sexual intercourse to be satisfactory after surgery, with no significant disruption in sexual activity during the follow-up period. No patient experienced fecal incontinence. Two patients complained of urinary incontinence, and 1 patient had misdirection of the stream postoperatively. The reconstruction of the perineal area resulted in all cases in a good anatomic effect, with the recreation of a soft perineal body. Flap reconstruction after radical vulvar surgery reduces postoperative morbidity and allows good anatomic and functional results.
AB - Repair of the perineal defect represents a major problem in patients undergoing radical vulvar surgery. From September 1986 to December 1990, 72 consecutive patients with primary untreated vulvar neoplasia underwent radical vulvar surgery with skin flap reconstruction of the perineal defect. Sixty-three patients had bilateral rhomboid flaps, and 9 had unilateral flap. In 33 eases, because of the wide anterior surgical defect, an LLL flap of Dufourmentel also was used to cover the mons pubis area. In 19 patients (26%), wound dehiscence was observed in the reconstructed area, with a maximum extension of 70% of the entire wound length (mean extension 30%). However, in all but 2 cases, satisfactory healing occurred without further surgery. Two patients experienced introital stenosis. Of the 33 sexually active patients, 30 (90%) reported sexual intercourse to be satisfactory after surgery, with no significant disruption in sexual activity during the follow-up period. No patient experienced fecal incontinence. Two patients complained of urinary incontinence, and 1 patient had misdirection of the stream postoperatively. The reconstruction of the perineal area resulted in all cases in a good anatomic effect, with the recreation of a soft perineal body. Flap reconstruction after radical vulvar surgery reduces postoperative morbidity and allows good anatomic and functional results.
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M3 - Article
AN - SCOPUS:0029125926
VL - 11
SP - 165
EP - 171
JO - Journal of Gynecologic Surgery
JF - Journal of Gynecologic Surgery
SN - 1042-4067
IS - 3
ER -