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Reconstruction of Surgical Defects Using the Gluteus Maximus Myocutaneous Flap Following Radical Vulvectomy
Author(s) -
Ogino Masahiro,
Sakamoto Takako,
Inoue Jun,
Dobashi Kazuyoshi,
Okinaga Shoichi,
Arai Kiyoshi
Publication year - 1992
Publication title -
asia‐oceania journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 0389-2328
DOI - 10.1111/j.1447-0756.1992.tb00295.x
Subject(s) - radical vulvectomy , medicine , surgery , vulvectomy , fibrous joint , suture line , blood loss , vulva , vulvar cancer
Radical vulvectomy is often complicated by problems associated with insufficient closure of large skin defects involving postoperative necrosis of the suture line over the mons pubis and the inguinal areas. To resolve these problems, the present study compared radical vulvectomy (RV, 7 cases) with radical vulvectomy followed by reconstructive operation using the gluteus maximus myocutaneous flap (RVR, 5 cases). There was no significant difference in operation time and blood loss between the two groups. Three of the 7 RV patients had wound separations requiring reoperation, while only 1 patient in the RVR group did. The average hospital stay was 86 days in the RV group and 38 days in the RVR. Risks of postoperative infection and wound breakdown were reduced with the flap technique, and ambulation and rehabilitation could begin earlier in this group. Surgical wounds were stable and the quality of life after operation was improved dramatically using the flap technique.