Author:
Saphira Chairani Fitri,Tan Bien Keem,Tay Sun Kuie
Abstract
Background : Algorithm for vulvar reconstructions in defects after oncologic resection of vulvar tumors has been established. It goals are to restores form and function for the purpose of coitus, micturition, and defecation. The purpose of this article is to present our experience in vulvar and anal reconstruction.
Method : A 43-year-old female with extensive vulvar, perineal and anal squamous cell carcinoma in-situ and groin lymph nodes metastasis requiring defect coverage after tumor resection. The defects involving exposed soft tissue around vulvar, perineal and anal areas.
Result : Vulvar and anal reconstruction was done in stages utilizing triple VY advancement flap. The reconstruction was successful with preservation of sexual and anal functions; and minimal scarring.
Conclution: Extensive vulvar and anal defects can be reconstructed by recruiting local tissue. VY advancement flap is one of the best options in these reconstructions.
Publisher
Jurnal Plastik Rekonstruksi
Reference16 articles.
1. Joura E.A. Trends in vulvar neoplasia. Increasing incidence of vulvar intraepithelial neoplasia and squamous cell carcinoma of the vulva in young women. J. Reprod. Med. 2000;45(8):613–615.
2. Hillemanns P. Evaluation of different treatment modalities for vulvar intraepithelial neoplasia (VIN): CO(2) laser vaporization, photodynamic therapy, excision and vulvectomy. Gynecol. Oncol. 2006;100(2):271–275.
3. Hampl M, Sarajuuri H, Wentzensen N, Bender HG, Kueppers V. Effect of human papillomavirus vaccines on vulvar, vaginal, and anal intraepithelial lesions and vulvar cancer. Obstet Gynecol. 2006;108(6):1361–1368.
4. Sideri M, Jones RW, Wilkinson EJ, Preti M, Heller DS, Scurry J, et al. Squamous vulvar intraepithelial neoplasia: 2004 modified terminology, ISSVD Vulvar Oncology Subcommittee. J Reprod Med 2005;50:807–10.
5. The American Congress of Obstetricians and Gynecologists. Management of Vulvar Intraepithelial Neoplasia. Available at: http:// www.acog.org. Accessed October 28, 2017.