Application of DIEP to repair the wound after radical vulvectomy

Chinese Journal of Clinical Anatomy ›› 2016, Vol. 34 ›› Issue (1) : 33-35.

Chinese Journal of Clinical Anatomy ›› 2016, Vol. 34 ›› Issue (1) : 33-35. DOI: 10.13418/j.issn.1001-165x.2016.01.009

Application of DIEP to repair the wound after radical vulvectomy

  • LIANG Feng1, ZHANG Yi-xin2, CHEN Mao1
Author information +
History +

Abstract

Objective To study the method and effect of using the deep inferior epigastric perforator flap (DIEP) to repair the wound after radical vulvectomy.    Method From May 2010 to March 2011, 5 cases of patients with carcinoma of vulva were treated by radical vulvectomy. Then DIEP was harvested from the abdominal wall and transplanted to repair the wound through subcutaneous tunnel under skin of mons pubis, using the deep inferior epigastric artery and vein on one side as vascular pedicle. The urethral orifice and vaginal orifice were also reconstructed in the same stage of operation.   Results    All DIEP (6~10 cm×12~17 cm)survived well after operation with satisfactory appearance of the urethral orifice and vaginal orifice.  Conclusion    Application of DIEP is one of the best methods to repair the wounds after radical vulvectomy for the advantages like: safety, convenience, minor injury of donor site and satisfactory appearance.

Key words

 Deep inferior epigastric artery; Perforator flap;  / Carcinoma of vulva;  / Radical vulvectomy

Cite this article

Download Citations
Application of DIEP to repair the wound after radical vulvectomy[J]. Chinese Journal of Clinical Anatomy. 2016, 34(1): 33-35 https://doi.org/10.13418/j.issn.1001-165x.2016.01.009

References

[1]  曹泽毅. 中华妇产科学[M]. 北京:人民卫生出版社, 1999:1336.
[2]  曹冬焱, 沈铿. 外阴癌 39 例手术治疗及预后分析[J]. 中华妇产科杂志, 2000, 35(8): 490-493.
[3]  李峰永, 李强, 周传德, 等. 腹直肌肌皮瓣在复发性外阴癌根治术后外阴形态重建中的应用[J]. 中国美容整形外科杂志, 2013, 24(009): 517-519.
[4]  肖玲, 高国兰. 股薄肌肌皮瓣在外阴恶性肿瘤切除后外阴阴道重建中的应用[J]. 中华整形外科杂志, 2006, 21(6): 467-469.
[5]  谢昆, 温宏武, 温冰, 等. 穿支皮瓣在修复外阴癌广泛性切除术后皮肤软组织缺损中的应用[J]. 中华妇产科杂志, 2014, 49(11):834-837.
[6]  孙宝东, 吴鸣, 闫迎军, 等. 股前外侧带蒂皮瓣修复外阴癌切除术后皮肤软组织缺损[J]. 中华医学杂志, 2006, 85(48): 3442-3443.
[7]  崔怀瑞, 吴东方, 唐茂林, 等. 腹壁下动脉穿支皮瓣的应用解剖学研究[J]. 中国临床解剖学杂志, 2011, 29(6): 614-618.
[8]董佳生, 王涛, 冯瑞铮, 等. 腹壁下动脉穿支 (DIEP) 皮瓣自体组织移植乳房再造[J]. 组织工程与重建外科杂志, 2005, 1(3): 154-156.
[9] 吴东方, 庄跃宏, 王建红, 等. 腹壁下动脉穿支皮瓣及腹壁浅动脉皮瓣的血供解剖研究[J]. 中国临床解剖学杂志, 2011, 29(6): 619-623.
[10] Koshima I, Soeda S. Inferior epigastric artery skin flaps without rectus abdominis muscle[J]. Br J Plastic Surg, 1989, 42(6): 645-648.

Accesses

Citation

Detail

Sections
Recommended

/