Recurrent vulvar carcinoma - reconstruction options with review of literature

Sakthi Usha Devi Jeevarajan; Karnan Srinivas; Prasanna Srinivasa Rao Harikrishnan; T. D. Balamurugan; M. J. Prabu

doi:10.18203/2320-6012.ijrms20250257

Authors

Sakthi Usha Devi Jeevarajan Department of Surgical Oncology, Kalaignar Centenary Super Specialty Hospital, Guindy, Chennai, Tamil Nadu, India
Karnan Srinivas Department of Surgical Oncology, Government Arignar Anna Memorial Cancer Hospital, Regional Care Centre, Kanchipuram, Chengalpattu Medical College, Tamil Nadu, India
Prasanna Srinivasa Rao Harikrishnan Department of Surgical Oncology, Government Arignar Anna Memorial Cancer Hospital, Regional Care Centre, Kanchipuram, Chengalpattu Medical College, Tamil Nadu, India https://orcid.org/0000-0002-4976-9342
T. D. Balamurugan Department of Surgical Oncology, Government Arignar Anna Memorial Cancer Hospital, Regional Care Centre, Kanchipuram, Chengalpattu Medical College, Tamil Nadu, India
M. J. Prabu Department of Surgical Oncology, Government Arignar Anna Memorial Cancer Hospital, Regional Care Centre, Kanchipuram, Chengalpattu Medical College, Tamil Nadu, India https://orcid.org/0000-0001-9286-4997

DOI:

https://doi.org/10.18203/2320-6012.ijrms20250257

Keywords:

Recurrent vulvar cancer, Vulvar reconstruction, Keystone flap, Lotus petal flap complications

Abstract

Vulvar cancer is a rare gynecological malignancy that can be aggressive and have a high rate of recurrence. The surgical management of recurrent vulvar cancer often involves wide local excision and the use of various reconstructive techniques to restore formal function. The keystone flap is a type of local tissue flap that has gained popularity in recent years due to its versatility and low complication rates. Our patients are elderly female who had previously undergone modified radical vulvectomy with bilateral inguinal femoral lymph nodal dissection for vulvar cancer. They presented symptoms and signs of recurrence and underwent wide local excision along with a keystone flap reconstruction. The postoperative course was uneventful, and the patient had no complications. Lotus petal suprafascial flap is a simple alternative procedure that can be done during the same surgery as the radical vulvectomy, improving the aesthetic results and reducing both the rate of complications and hospital stay. Soft tissue reconstruction in patients undergoing resection of recurrent vulvar malignancies is associated with a low rate of postoperative complications, decreased pain, and improved functional status.

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Author Biography

Prasanna Srinivasa Rao Harikrishnan, Department of Surgical Oncology, Government Arignar Anna Memorial Cancer Hospital, Regional Care Centre, Kanchipuram, Chengalpattu Medical College, Tamil Nadu, India

Assistant Professor,

Department of Surgical Oncology, GOVT ARIGNAR ANNA MEMORIAL CANCER HOSPITAL AND RESEARCH INSTITUTE, REGIONAL CANCER CENTRE, KANCHIPURAM, TAMILNADU, INDIA - 631552

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