Abstract
BACKGROUND: Vulvar cancer is a relatively infrequent disease, that constitutes 1-5% of all gynecological cancers. Surgery is the mainstay treatment is adequate resection, and lymph node evaluation, often have a high risk of relapse that may reach 65%.
Advanced stages are a surgical challenge and multidisciplinary approach with plastic surgery will provide adequate surgical margins, less complications, adequate wound closure, and early adjuvant treatment starting; as well as excellent cosmetic results, with functional, psychological and sexual morbidity decreased.
OBJECTIVES: To describe and present the alternatives of vulvoperineal reconstruction in vulvar cancer at Instituto Nacional de Cancerología, Mexico.
METHODS: A retrospective descriptive analysis of eleven cases of vulvoperineal reconstruction in vulvar cancer was performed from January 2015 to December 2015, at Instituto Nacional de Cancerología, Mexico; for one plastic surgeon; and demonstrated the algorithm base don their experience.
RESULTS: We performed 11 patients of vulvar reconstruction with different reconstructive techniques, such as gracilis flapping, pudend, with a high success rate. as well as, to propose an algorithm based in our experience with vulvar cancer reconstruction at Instituto Nacional de Cancerología, Mexico.
CONCLUSION: The present article aims to review the reconstructive alternatives in Vulvar Cancer, several algorithms for surgical treatment have been published before; but they tend to be complex, in part because of the low incidence of Vulvar Cancer and the several options of reconstructive procedures.
KEW WORDS: Vulvar reconstruction; Vulvoperineal reconstruction, vulvar cancer.
