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Utilizing VY fasciocutaneous advancement flaps for vulvar reconstruction

机译:利用VY筋膜皮肤推进皮瓣重建外阴

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ObjectivesWe aimed to analyze the outcomes of patients who underwent vulvectomy with subsequent VY fasciocutaneous flap reconstruction.MethodsAll medical records of all patients who underwent vulvectomies with VY fasciocutaneous flap reconstruction from January 2007 to June 2016 were retrospectively reviewed. Patient clinical and surgical data, demographics, and outcomes were abstracted.ResultsOf the 27 patients, 42 flaps were transferred. A simple vulvectomy was performed in 8 (30%) patients, partial radical vulvectomy in 15 (56%), and radical vulvectomy in 4 (15%). The median area of defect was 30?cm2. Minor wound separations occurred in 9 patients (33%). Infectious complications occurred in 4 patients (15%); this included urinary tract infections in 2 (50%), postoperative fevers in 2 (50%), and sepsis in 1 (25%) patient with a UTI. There were no instances of flap necrosis, wound dehiscence, or wound infections. Black race was more likely to be associated with an infectious complication with 3 (75%) patients, compared to white race with 1 (4%) patient (p?
机译:目的回顾性分析2007年1月至2016年6月行VY筋膜皮瓣重建术的所有患者的所有病历。对患者的临床和手术资料,人口统计学和结局进行了抽象。结果在27例患者中,转移了42例皮瓣。 8例(30%)患者进行了简单的外阴切除术,15例(56%)行了部分根治性外阴切除术,4例(15%)行了根治性外阴切除术。缺陷的中值面积为30?cm2。 9例患者(33%)发生了轻微的伤口分离。 4例患者发生感染并发症(15%);其中包括2例(50%)的尿路感染,2例(50%)的术后发烧和1例(25%)的UTI患者发生败血症。没有皮瓣坏死,伤口裂开或伤口感染的情况。与种族为1(4%)的白人相比,种族为3(75%)的黑人更有可能与感染并发症相关(p?<0.01)。糖尿病的存在更有可能与2例(67%)患者的感染并发症相关,而非糖尿病患者则为1例(4%)(p <0.01)。在人口统计学,医学合并症,外阴病理学或影响VY筋膜皮瓣感染并发症或轻微伤口分离的手术因素分析中,未发现其他显着相关性。 。感染并发症与糖尿病,黑人种族和艾滋病毒相关。

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