Abstract
We report 4 cases of Venoneuro-accompanying artery fascio-cutaneous flaps (V-NAF flap) of great saphenous vein after resection of perineal and groin area, and leg. Case1 was a 59-year-old woman who has had an operation for Bowen carcinoma of anus 6 years ago. She had been suffering from recurrence in skin metastasis around pubic area and undergone surgery for several times. This time, perineum lesion was resected and covered with left and right V-NAF flaps of the great saphenous vein. Case 2 was a 90-year-old woman with SCC on pubic region, 8 cm in size. It was resected and covered with left and right V-NAF flaps of the great saphenous vein. Case 3 was an 89-year-old man with myxofibrosarcoma outside of his left knee. It was resected including aponeuroses and covered with reverse V-NAF flaps with the great saphenous vein of left leg. Case 4 was an 80-year-old man with BCC of right groin area, which was 4 cm in size and firmly fixed with inguinal canal. It was resected and covered with right V-NAF flaps of the great saphenous vein. V-NAF flap has various advantages such as reliable blood supply, simple and easy technique, and the availability of both distal and proximal pedicle flap. However, it should be reminded that donor site is a part of lymphatic channel from primary lesion.[Skin Cancer (Japan) 2014 ; 29 : 181-188]
