A 61-year-old female developed vulval metastasis five months after a metastatic rectal carcinoma was treated by abdomino-perineal resection (APR) and pelvic exenteration, chemotherapy and radiotherapy. In view of her previous management and the anticipated defect a joint operative management was performed by the oncological and plastic surgical teams. She had bilateral en bloc inguinal node dissection and posterior vulvo-vaginectomy. Immediate reconstruction using bilateral gracilis myocutaneous flaps was complicated only by minor skin necrosis. The selection of flaps for reconstruction was limited by previous and current operative management.
European Journal of Plastic Surgery – Springer Journals
Published: May 8, 1998
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