Management
In a series of 22 patients, Negosanti et al. [PMID:26035125] propose an algorithm where type I defects (IA and IB) are managed with monolateral or bilateral LPF, while type II wider defects requiring more tissue are reconstructed using a pedicle DIEP flap, with satisfactory functional and aesthetic outcomes reported.
Negosanti et al. [PMID:26035125] classify vulvar defects into types I and II based on the extent of resection and recommend specific flap choices accordingly, highlighting the suitability of LPF for smaller defects and DIEP flap for larger, more extensive defects.
Complications
Negosanti et al. [PMID:26035125] report their experience with 22 patients undergoing vulvar reconstruction using perforator flaps, noting the absence of major complications in their series.
References
1 Negosanti L, Sgarzani R, Fabbri E, Palo S, Oranges CM, De Iaco P et al.. Vulvar Reconstruction by Perforator Flaps: Algorithm for Flap Choice Based on the Topography of the Defect. International journal of gynecological cancer : official journal of the International Gynecological Cancer Society 2015. link
1 papers cited of 3 indexed.