Limb sparing surgery for vulvar groin recurrence: A case report and reviewof the literature

Hemipelvectomy was successfully avoided in a patient with extensive necroti c groin recurrence of vulvar cancer after prior radiation therapy. Tumor-fr ee resection margins were achieved by wide excision of the recurrence inclu ding-resection of the pubic bone and adjacent muscles. After resection of t he femoral artery, blood supply to the leg was restored by an extra-anatomi c axillopopliteal bypass. A myocutaneous flap from the contralateral rectus abdominis was used for primary wound closure. Limb salvage was achieved an d the patient experienced pain relief, excellent cosmesis, and independent gait. Aspects of treatment options, even though primarily palliative, in gr oin recurrence of vulvar carcinoma are discussed.