Vulvar Reconstruction with Keystone Flaps after Radical Vulvectomy

Vulvar cancer is a rare oncologic pathology, accounting for only 3%-5% of all gynecologic neoplasms, with squamous cell carcinoma responsible for more than 90% of these cases; the remaining 10% includes Paget disease, lichen sclerosus, and vulvar melanoma. Radical vulvectomy has become the gold stan...

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Bibliographic Details
Published inPlastic and reconstructive surgery. Global open Vol. 12; no. 7; p. e5965
Main Authors Páez López, Germán, Martínez Gil, Sofia, Zannin Ferrero, Andreina, Ramos Hernández, Daniel, Caicedo Páez, Lina M
Format Journal Article
LanguageEnglish
Published United States Lippincott Williams & Wilkins 01.07.2024
Wolters Kluwer
Subjects
Case Report
Reconstructive
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Summary:Vulvar cancer is a rare oncologic pathology, accounting for only 3%-5% of all gynecologic neoplasms, with squamous cell carcinoma responsible for more than 90% of these cases; the remaining 10% includes Paget disease, lichen sclerosus, and vulvar melanoma. Radical vulvectomy has become the gold standard treatment due to the high recurrence rate and effective local control in patients with squamous cell carcinoma stages IB to IVA. To address these needs, various reconstructive options have been reported in the literature, each potentially offering different results due to their diverse nature. We present a series of patients who underwent vulvar reconstruction with the keystone flap, describing the surgical technique, complication rate, advantages over other techniques, and long-term follow-up.
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ISSN:2169-7574
2169-7574
DOI:10.1097/GOX.0000000000005965