Primary reconstructive surgery with a sliding flap for carcinoma of the Bartholin gland

Bartholin gland tumours are rare and therefore recommendations concerning m anagement have been based on small series. Although there is a tendency tod ay to perform less radical surgery, meaning hemivulvectomy or a wide local excision, the anatomical position of these tumours often leads to a large p ostoperative defect. The objective of this report is to present data on thr ee patients but mainly to describe our surgical technique where a sliding f lap obtained from the gluteal region is used for primary closure. This surg ical procedure offers a functional and cosmetically acceptable vulva which is of importance considering the relative young age of patients with Bartho lin gland rumours.