OBJECTIVES: The purpose of this study was to evaluate the safety and efficacy of skin flaps in vulvar reconstructive surgery. STUDY DESIGN: A retrospective review was performed on 207 consecutive flaps on 191 assessable @entity1 referred between 1992 and 1996. Outcome measures were wound closure, healing, restoration of coital function, and final result after any secondary revision. RESULTS: Primary closure without tension was possible in all but one instance, and 186 (89.9%) wounds healed by primary intention. Of 146 contractures, 95.8% were reparable by simple sliding flaps (YV advancement or "maple leaf"). Conversely, all the 99 tissue deficits required a pivoting design (random transposition, Martius, pudendal thigh, and gracilis or gluteus myocutaneous flaps). Primary success rates decreased sharply with @entity85 , underlying disease, and complexity of flap design. There were 65 complications among 42 individuals, and 21 @entity1 required subsequent Z plasty or a second flap. Nonetheless, disease was cured and function restored in 178 (93.2%) @entity1 . CONCLUSIONS: Sliding or pivoting @entity6068 are generally reliable. Complex flaps are more difficult, but there are seldom any simpler surgical options.

Local and distant skin flaps in the reconstruction of XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'women'] @entity85 :: ('MESH:D009140', 'Disease') :: ['worsening deformity'] @entity6068 :: ('MESH:D014845', 'Disease') :: ['vulvar flaps']
@entity85 :: (MESH:D009140,Disease) :: ['vulvar deformities']
