V-Y advancement flap for vulval reconstruction

Abstract

Introduction: Invasive vulvar carcinoma is an infrequent cancer among females and it accounts for about 4% of all gynaecological cancers. Median age of diagnosis is late sixties or early seventies. 5 year survival is approximately 85% in early stage disease (stage I/II).1 It is associated with low socioeconomic status, poor personal hygiene and Human Papillomavirus (HPV) infections. Materials and methods: This is a retrospective, descriptive, purposive, institutional study with no randomization of the study subjects using convenience sampling. Over 1 year (August, 2020 to July 2021) we operated on CA vulva involving labia majora, minora, clitoris, mons and fourchette in 10 patients at the Department of Surgery, Gitam institute of medical sciences and research, Rushikonda, Vishakhapatnam. Photographs of the surgical steps were routinely taken and archived after complete anonymization. For advance postoperative chemoradiation some patients were treated in conjunction with the Radiotherapy department, as per the wishes of the patients. Retrospectively the data was analysed and the cases being followed up on long term basis at OPD. Results: Among the 10 study female patients with CA vulva extirpation and reconstruction, mean age was 64.9 years (ranging from 59 to 70 years).