Gracilis Myocutaneous Flap in Reconstruction of the Vulva and Female Perineum

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Abstract
For the past 2 decades there was a definite trend among pelvic surgeons to immediately reconstruct the large defects created by deforming radical cancer surgery in the female pelvis and perineum. Extensive en bloc removal of more tissue has enhanced the probabilities of increased 5 yr survival. At the same time, however, the quality of life following radical surgery was of great concern to both patient and surgeon. Recent advances were made in techniques for reconstruction. Experience using the gracilis myocutaneous flap for reconstruction of the vulva after radical excision of perineal tissue is presented. The technique of the procedure is presented with the clinical results in 5 cases, and the complications noted therein.

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