Surgical treatment of vulvar cancer with perineal defect reconstruction using a VRAM flap. Clinical case

Abstract

The article presents a clinical case of perineal defect reconstruction using a VRAM flap in a patient with vulvar cancer. Stepwise surgical treatment method is described. A multidisciplinary meeting allows to realize a plan of surgical help for such patients with the goal of treating oncological process and its complications.We have proposed a variant of perineal defect reconstruction through transfer of a vertical rectus abdominis musculocutaneous flap with a vascular pedicle.

Keywords

• vram flap
• vulvectomy
• vulvar cancer
• inguinal lymph node dissection