We present a new method for vulvar reconstruction based on recently described vasculature of the lower abdominal skin and subcutaneous tissue. The superficial external pudendal artery supplies the region encompassing the suprapubic and infraumbilical skin. Thus, a pedicled skin flap based on the superficial external pudendal artery is designed in the suprapubic area and rotated into place for vulvar reconstruction. Because of the thickness and pliability of the flap as well as the inconspicuous donor scar, we believe this method of reconstruction to be superior to skin grafts or bulkier (ie, musculo-and fasciocutaneous) tissue flaps.
|Original language||English (US)|
|Number of pages||5|
|Journal||Obstetrics and gynecology|
|State||Published - Nov 1991|
ASJC Scopus subject areas
- Obstetrics and Gynecology