Reconstruction of Vulva and Perineal Defects After Gynecological Oncological Surgery and Effectiveness of Local Flaps

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dc.contributor.authorKarateke, Ateş
dc.contributor.authorUzuneyüpoğlu, Orkun
dc.contributor.authorÖztürk, Muhammed Beşir
dc.contributor.authorAksan, Tolga
dc.contributor.authorKüçükbaş, Mehmet
dc.date.accessioned2023-04-10T20:20:56Z
dc.date.available2023-04-10T20:20:56Z
dc.date.issued2021
dc.departmentRektörlük, Rektörlüğe Bağlı Birimler, Düzce Üniversitesi Dergilerien_US
dc.description.abstractAim: Although most defects can close by primary suturing after radical surgery of gynecological malignancies, different reconstruction options are available when large defects that require reconstruction occur. In this study, we present the treatment strategy and results for patients who underwent reconstruction after resection for gynecological cancer in the vulva and perineum. Material and Methods: A total of 18 patients who underwent reconstruction between May 2018 and July 2020 were included in this retrospective study. Demographics and clinical data, the resection operation, characteristics of the defect, and the reconstruction methods applied were evaluated. Postoperative treatment strategy and complication rates were evaluated. Results: The mean age was 62.3±13.2 (42-83) years. 88.9% of the patients had additional diseases. Pelvic exentration was performed in 5 (27.8%) patients, anterior resection in 2 (11.1%) patients and vulvectomy in 11 (61.1%) patients. The most common malignancy was squamous cell carcinoma, and mean defect size was 106±97 (12-476) cm2. Reconstruction was performed with a local fasciocutaneous flap in 16 (88.9%) patients, pedicled rectus myocutaneous flap in one (5.6%) patient, and skin graft in one (5.6%) patient. Wound complications occurred in 5 (27.8%) patients, partial flap necrosis in one (5.6%) patient, and recurrence in one (5.6%) patient in the long term. Conclusion: It is possible to reconstruction most of the vulva and perineal defects with local flaps after oncological resections, Considering the characteristics of the area and patient comorbidities, it should be kept in mind that prolonged wound problems may be seen, especially in vulvectomy patients.en_US
dc.identifier.doi10.18678/dtfd.911107
dc.identifier.endpage169en_US
dc.identifier.issn1307-671X
dc.identifier.issue2en_US
dc.identifier.startpage164en_US
dc.identifier.trdizinid498448en_US
dc.identifier.urihttp://doi.org/10.18678/dtfd.911107
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/498448
dc.identifier.urihttps://hdl.handle.net/20.500.12684/11476
dc.identifier.volume23en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofDüzce Tıp Fakültesi Dergisi
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectpelvic exenterationen_US
dc.subjectvulvectomyen_US
dc.subjectneoplasmen_US
dc.subjectmorbidityen_US
dc.subjectwoundsen_US
dc.subjectreconstructiveen_US
dc.titleReconstruction of Vulva and Perineal Defects After Gynecological Oncological Surgery and Effectiveness of Local Flapsen_US
dc.typeArticleen_US

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