外陰部Paget病の腹直筋皮弁による再建

概要

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Conventionally skin grafts were performed to reconstruct extensive skin defect after surgical excision of genital Pagets disease. However scar contructure often occured postoperatively. The methods of flap surgery made a great progress these years and the extensive skin defect of genital region is reconstructed using many types of flaps, including a gracilis musclocutaneous flap and TFL musclocutaneous flap. However we perform bilateral lymph node dissection in almost every invasive carcinoma cases. The flaps elevated from lower extremity tend to worsen lymphedema of the lower extremity. We applied DIEA flap in three cases to reconstruct the extensive skin defect after surgical excision of genital Pagets disease and satisfactory results were obtained. This flap is considered to be one of the most reliable operative procedures for covering the skin defect of genital region.