Abstract
Problems of vulvar reconstruction are wound contamination due to secretion, and delayed wound healing caused by lymphorrhea. An aesthetically and functionally satisfying reconstruction of the vulva is also required. There are some reports concerning the gluteal fold flap for vulvar reconstruction. The gluteal fold flap has a reliable blood supply based on the internal pudendal artery. The internal pudendal artery is not compromised by groin dissection. The gluteal fold flap can be safely elevated in the case of longhorn resection of vulvar cancer and groin lymph nodes. Another advantage of the flap is the inconspicuous postoperative donor site scar. We performed vulvar reconstruction based on our using the gluteal fold V-Y advancement flap. We elevated the flap retaining the continuity between a part of the flap and the skin of the medial thigh. It can easily be elevated and advanced to reconstruct an aesthetically and functionally satisfying vulva.[Skin Cancer (Japan) 2010 ; 25 : 195-199]
