Reconstruction of a Chronic Secondary Vulvar Defect upon Treatment of Primary Vaginal Carcinoma: a Case Report and Management Considerations
Keywords:
vaginal neoplasm, reconstruction technical procedures, surgical flaps, plastic surgery, vulvar neoplasmsAbstract
Vaginal cancer is a rare neoplasm which makes up 1% of female genital cancer; however, its incidence has risen in the past few years. Adjuvant and reconstructive surgical management prove to be important in the oncologic and functional outcome of the disease, but may involve anatomy and function in the vagina, as well as in adjacent organs. Breakthroughs in surgical and adjuvant therapy have led to greater survival rates among younger patients, thus implying a greater need for improved management of the anatomical defect in the lesion or of treatment side effects. An effort should always be made towards interdisciplinary management, from the initial intervention, including the corresponding reconstructive technique used on the defect. A case is presented on the combined oncologic and reconstructive management achieved by means of a lotus flower unilateral flap for a chronic vulvar defect brought about by previous primary vaginal cancer.
Author Biographies
Óscar Suescún, Instituto Nacional de Cancerología
Clínica de ginecología oncológica, Instituto Nacional de Cancerología, Bogotá, D. C., Colombia
Jaime F. Ruiz, Instituto Nacional de Cancerología
Clínica de ginecología oncológica, Instituto Nacional de Cancerología, Bogotá, D. C., Colombia
Universidad Militar Nueva Granada, Bogotá, D. C., Colombia
Francisco Sanmiguel, Universidad Surcolombiana
Universidad Surcolombiana, Neiva, Colombia
Enrique Chaparro, Instituto Nacional de Cancerología
Clínica de cirugía plástica oncológica, Instituto Nacional de Cancerología, Bogotá, D. C., Colombia
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