DISTROFIE VULVARI CRONICHE: PASSATO E PRESENTE NEL TRATTAMENTO RICOSTRUTTIVO DOPO EXERESI

Vulvar dystrophies are disorders of vulvar skin and mucosa that generally appear after menopause. In cases resistant to medical treatment the troublesome symptomatology and the possibility of a neoplastic evolution require simple vulvectomy. It is necessary to cover the surgical wound immediately after the resection. In the past this aim was reached by means of skin graft or, more recently, random regional flaps. A greater care for the psychosexual losses and a noticeable improvement of the prognosis in early diagnosed vulvar cancers have displaced the efforts of plastic surgeons from the simple coverage of the wound to a reconstruction respectful either of the shape either of the function. In particular two procedures deserves to be mentioned. The former is the medial thigh fasciocutaneous flap the latter is the groin flap. Inevitably they both leave a defect of the donor site, more or less important, but in any case irrelevant if compared with the advantages of an immediate reconstruction satisfying the surgeon and expecially the patient. The Authors present the results of their clinical experience between 1986 and 1989.