Bilateral Vulvar Reconstruction Using Two Different Types of Perforator Flap: A Case Report

Ki,  Sae Hwi; Sim,  Seung Hyun; Lee,  Sang Hwan

doi:2018.23.1.63

Arch Hand Microsurg > Volume 23(1); 2018 > Article

Case Report

Archives of Hand and Microsurgery 2018;23(1):63-67.
Published online March 1, 2018.
DOI: https://doi.org/10.12790/ahm.2018.23.1.63

Bilateral Vulvar Reconstruction Using Two Different Types of Perforator Flap: A Case Report

Sae Hwi Ki^1,2, Seung Hyun Sim², Sang Hwan Lee²

¹Department of Plastic Surgery, Inha University School of Medicine, Incheon, Korea. mdki1967@gmail.com
²Department of Plastic Surgery, Inha University Hospital, Incheon, Korea.

Received: 18 September 2017 • Revised: 6 November 2017 • Accepted: 7 November 2017

Abstract

We reconstructed an extensive vulvar defect with the internal pudendal artery and the anterior obturator artery perforator flap and compared the two types of flaps. A 57-year-old female patient had a 15×13 cm2 defect on both sides around the vagina after vulvectomy. Due to the injury in the internal pudendal artery, we used the internal pudendal artery perforator on the right side, and the anterior obturator artery perforator flap on the left side. The internal pudendal artery perforator flap could be rotated easily 120 degrees toward the vulvar defect. However, as the anterior obturator artery perforator flap was difficult to rotate, reconstruction was performed by rotation and advancement. The anterior obturator artery perforator flap is a viable alternative method that can be used when it is difficult to use the internal pudendal artery perforator flap during vulvar reconstruction.

Key Words: Vulvar neoplasms, Perforator flap, Rotation