Objective: To evaluate the clinical application of perforator flap in extended radical vulvectomy of vulvar carcinoma.
Methods: Retrospectively, twelve cases of vulva carcinoma were treated by radical extensive excision, and the defects were repaired with perforator flap.
Results: All the flaps were survived and healed with first intention except one infection. The wound infection patient was treated with change of the dressing and antibiotics. The reconstructed vulvae were plump and elastic. It appeared like the normal vulvae and there was no contraction of the vagina.
Conclusions: Vulvar reconstruction with the perforator flap after the radical vulvectomy could make the patients recover easily, which produces almost normal appearance and function of the vulvae, reduces the time of wound healing, the patient could get the next therapy more quickly and the quality of life improving. It has wide clinical application value.