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Cirugía Plástica Ibero-Latinoamericana
versão On-line ISSN 1989-2055versão impressa ISSN 0376-7892
Resumo
YUSTE BENAVENTE, Valentín; NEGREDO QUINTANA, Isabel; SAMPIETRO DE LUIS, José Manuel e BERNAL MARTINEZ, Álvaro. Outcomes of the implementation of a protocol for immediate vulvar reconstruction after vulvectomy. Cir. plást. iberolatinoam. [online]. 2019, vol.45, n.2, pp.175-181. Epub 14-Out-2019. ISSN 1989-2055. https://dx.doi.org/10.4321/s0376-789220190002000010.
Background and objective
Vulvectomy surgery is associated with a high incidence of surgical wound complications that may be avoided with immediate vulvar reconstruction.
In this paper we present the results obtained in our hospital with the implementation of an immediate vulvar reconstruction protocol.
Methods
In January 2017 we established an immediate vulvar reconstruction protocol in our center with a list of criteria that would allow the gynecologist to detect those patients with a high risk of wound dehiscence after vulvectomy in order to coordinate the immediate reconstruction of the vulva with our Plastic Surgery Service.
For the next 18 months, we recorded the information of those patients intervened: age, pathology, reconstructive criteria, reconstructive technique, laterality, hospital stay and complications during the first 30 postoperative days.
Results
We performed immediate vulvar reconstruction in 9 patients: 8 with a lotus flap and 1 with a gracilis myocutaneous flap. Mean stay was 31.4 days and 3 patients developed complications in the form of surgical wound dehiscence.
Conclusions
We consider that our protocol is a useful tool for the implantation of immediate vulvar reconstruction and to establish a collaboration between gynecologists and plastic surgeons.
Palavras-chave : Vulvar neoplasms; Vulvectomy; Perforator flaps.