ABSTRACT

Surgical cure demands adequate disease-free margins. Since large debulking procedures are often necessary, reconstructive techniques are required to restore anatomy and promote uncomplicated healing. Regional flaps are the most commonly used and effective of procedures. Flap selection is based on the type of defect and patient characteristics. The pudendal thigh flap is relatively simple and has the distinction of being at least partially sensate. The rectus abdominis muscle flap is a very versatile flap, useful in covering many defects. It is highly reliable, with a consistent vascular supply and muscular development. The gracilis flap has been popular for many years for vaginal reconstruction, but it is somewhat less reliable.