A NEW POST VULVECTOMY RECONSTRUCTIVE TECHNIQUE

A new procedure to close extensive defects on the perineal area after vulvectomy is described. For years, the three first authors of this pa per performed a number of surgical reconstructions after vulvectomy em ploying a personal technique that was described in 1987. But this tech nique is not useful when the excision has to be performed far beyond t he anal orifice, involving a great part of the thighs. In this paper w e describe our procedure of double rotation-transposition flaps design ed to repair a great defect following extensive excision. As a conclus ion, we wish to stress out that the rotation-transposition flaps shoul d always be the technique of choice when repairing defects around the natural orifices. Grafts will only be useful to cover the donor area o f the flaps. (C) 1997 Elsevier Science Ireland B.V.