Journal of Obstetric and Gynaecological Practices POGS

Register      Login



Volume / Issue

Online First

Related articles

VOLUME 1 , ISSUE 1 ( January-June, 2023 ) > List of Articles


Management of a Case of Advanced Vulval Carcinoma with Flap Reconstruction: A Case Report with Review of Literature

Sreeya Bose, Manisha Vernekar, Souryadip Gupta, Puja Chatterjee, Ranajit Mandal

Keywords : Anteromedial thigh flaps, Flap reconstruction, Gynecological cancers, Lymphadenectomy, Vulval carcinoma

Citation Information : Bose S, Vernekar M, Gupta S, Chatterjee P, Mandal R. Management of a Case of Advanced Vulval Carcinoma with Flap Reconstruction: A Case Report with Review of Literature. J Obstet Gynaecol 2023; 1 (1):18-20.

DOI: 10.5005/jogyp-11012-0002

License: CC BY-NC 4.0

Published Online: 09-05-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Aim and background: Several myocutaneous flap approaches have been described for repairing large vulvar defects caused by deforming radical cancer procedures in the female perineum. In general, vulvar cancer has a favorable prognosis when adequately treated with multidisciplinary treatment. Case presentation: In this case report, we describe a patient who underwent a radical vulvectomy for locally advanced squamous cell carcinoma of the vulva, and the defect was reconstructed by an anteromedial thigh flap. Conclusion: Anteromedial thigh flap offers many advantages including adequate soft tissue coverage, a shorter route for flap transfer, an unnoticeable scar, quick recovery times, and better functional outcomes. Clinical significance: Large abnormalities are now more easily repaired, and the morbidity linked to such radical procedures in advanced vulvar cancer has decreased due to the reconstruction option with an anteromedial thigh flap.

PDF Share
  1. Hacker NF, Leuchter RS, Berek JS, et al. Radical vulvectomy and bilateral inguinal lymphadenectomy through separate groin incisions. Obstet Gynecol 1981;58(5):574–579. PMID: 7301232.
  2. John HE, Jessop ZM, Di Candia M, et al. An algorithmic approach to perineal reconstruction after cancer resection-experience from two international centers. Ann Plast Surg 2013;71(1):96–102. DOI: 10.1097/SAP.0b013e3182414485.
  3. Huang Jung-Ju MD, Wu Chih-Wei MD, Tsao Chung-kan MD, et al. Pedicled perforator flaps for vulvar reconstruction – A versatile, less invasive and simple way with favorable results. Plastic and Reconstructive Surgery 2014;134(4S-1):148–149. DOI: 10.1097/01.prs.0000455528.46291.f5.
  4. Gentileschi S, Servillo M, Garganese G, et al. Surgical therapy of vulvar cancer: How to choose the correct reconstruction? J Gynecol Oncol 2016;27(6):e60. DOI: 10.3802/jgo.2016.27.e60.
  5. Chang TN, Lee CH, Lai CH, et al. Profunda artery perforator flap for isolated vulvar defect reconstruction after oncological resection. J Surg Oncol 2016;113(7):828–834. DOI: 10.1002/jso.24233.
  6. Bacalbasa N, Balescu I, Mereuta A, et al. Gracilis myocutaneous flap for perineal defect reconstruction after left hemivulvectomy for locally invasive vulvar cancer – A case report and a literature review. J Mind Med Sci 2019:6(1):176–180. DOI:
  7. Trignano E, Baccari M, Bolletta A, et al. Modifield musculocutaneous gracilis flap – A case report. Ann Ital Chir 2019;9(8):S2239253X19030962. PMID: 31617854.
  8. Tan BK, Kang GC, Tay EH, et al. Subunit principle of vulvar reconstruction: Algorithm and outcomes. Arch Plast Surg 2014; 41(4):379–386. DOI: 10.5999/aps.2014.41.4.379.
  9. Vermaas M, Ferenschild FT, Hofer SO, et al. Primary and secondary reconstruction after surgery of the irradiated pelvis using a gracilis muscle flap transposition. Eur J Surg Oncol 2005;31(9):1000–1005. DOI: 10.1016/j.ejso.2005.02.004.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.