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Reconstruction of Vulvar Extra-Mammary Paget's Disease with Bilateral Pedicled Flap

This case involves a 75-year-old female patient diagnosed with extra-mammary Paget's disease of the vulva, resulting in significant tissue loss. A bilateral pedicled flap (PBIF) reconstruction was performed using skin paddles designed along the bilateral gluteal and inguinal folds to cover the surgical defect. The size of the left PBIF was 18 x 4 cm, and the right was 18 x 5 cm. The elevation of the right flap was marked with a perforator indication, and primary closure of the donor sites was achieved along the gluteal and inguinal folds postoperatively.

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Reconstruction of Vulvar Extra-Mammary Paget's Disease with Bilateral Pedicled Flap

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Presentation Transcript

  1. Case 1 • 75 year old female • Extra-mammary Pagets of vulva • Bilateral PBIF reconstruction: Skin paddle designed along bilateral gluteal and inguinal folds • PBIF size: L: 18 x 4 cm, R: 18 x 5cm

  2. Post-resection defect with PBIFs marked out

  3. Elevation of right PBIF with perforator marked with arrow

  4. Inset of bilateral PBIFs with primary closure of donor sites along gluteal and inguinal folds

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