Labia Majora Share.
Identifieur interne : 000279 ( PubMed/Checkpoint ); précédent : 000278; suivant : 000280Labia Majora Share.
Auteurs : Hanjing Lee [Singapour] ; Yan Lin Yap [Singapour] ; Jeffrey Jen Hui Low [Singapour] ; Jane Lim [Singapour]Source :
- Archives of plastic surgery [ 2234-6163 ] ; 2017.
Abstract
Defects involving specialised areas with characteristic anatomical features, such as the nipple, upper eyelid, and lip, benefit greatly from the use of sharing procedures. The vulva, a complex 3-dimensional structure, can also be reconstructed through a sharing procedure drawing upon the contralateral vulva. In this report, we present the interesting case of a patient with chronic, massive, localised lymphedema of her left labia majora that was resected in 2011. Five years later, she presented with squamous cell carcinoma over the left vulva region, which is rarely associated with chronic lymphedema. To the best of our knowledge, our management of the radical vulvectomy defect with a labia majora sharing procedure is novel and has not been previously described. The labia major flap presented in this report is a shared flap; that is, a transposition flap based on the dorsal clitoral artery, which has consistent vascular anatomy, making this flap durable and reliable. This procedure epitomises the principle of replacing like with like, does not interfere with leg movement or patient positioning, has minimal donor site morbidity, and preserves other locoregional flap options for future reconstruction. One limitation is the need for a lax contralateral vulva. This labia majora sharing procedure is a viable option in carefully selected patients.
DOI: 10.5999/aps.2017.44.1.80
PubMed: 28194353
Affiliations:
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Singapore.</nlm:affiliation><country xml:lang="fr">Singapour</country><wicri:regionArea>Division of Plastic, Reconstructive and Aesthetic Surgery, Department of General Surgery, National University Health System</wicri:regionArea><wicri:noRegion>National University Health System</wicri:noRegion></affiliation></author><author><name sortKey="Low, Jeffrey Jen Hui" sort="Low, Jeffrey Jen Hui" uniqKey="Low J" first="Jeffrey Jen Hui" last="Low">Jeffrey Jen Hui Low</name><affiliation wicri:level="1"><nlm:affiliation>Department of Obstetrics and Gynaecology, National University Health System, Singapore.</nlm:affiliation><country xml:lang="fr">Singapour</country><wicri:regionArea>Department of Obstetrics and Gynaecology, National University Health System</wicri:regionArea><wicri:noRegion>National University Health System</wicri:noRegion></affiliation></author><author><name sortKey="Lim, Jane" sort="Lim, Jane" uniqKey="Lim J" first="Jane" last="Lim">Jane Lim</name><affiliation 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wicri:level="1"><nlm:affiliation>Division of Plastic, Reconstructive and Aesthetic Surgery, Department of General Surgery, National University Health System, Singapore.</nlm:affiliation><country xml:lang="fr">Singapour</country><wicri:regionArea>Division of Plastic, Reconstructive and Aesthetic Surgery, Department of General Surgery, National University Health System</wicri:regionArea><wicri:noRegion>National University Health System</wicri:noRegion></affiliation></author><author><name sortKey="Low, Jeffrey Jen Hui" sort="Low, Jeffrey Jen Hui" uniqKey="Low J" first="Jeffrey Jen Hui" last="Low">Jeffrey Jen Hui Low</name><affiliation wicri:level="1"><nlm:affiliation>Department of Obstetrics and Gynaecology, National University Health System, Singapore.</nlm:affiliation><country xml:lang="fr">Singapour</country><wicri:regionArea>Department of Obstetrics and Gynaecology, National University Health System</wicri:regionArea><wicri:noRegion>National University Health System</wicri:noRegion></affiliation></author><author><name sortKey="Lim, Jane" sort="Lim, Jane" uniqKey="Lim J" first="Jane" last="Lim">Jane Lim</name><affiliation wicri:level="1"><nlm:affiliation>Division of Plastic, Reconstructive and Aesthetic Surgery, Department of General Surgery, National University Health System, Singapore.</nlm:affiliation><country xml:lang="fr">Singapour</country><wicri:regionArea>Division of Plastic, Reconstructive and Aesthetic Surgery, Department of General Surgery, National University Health System</wicri:regionArea><wicri:noRegion>National University Health System</wicri:noRegion></affiliation></author></analytic><series><title level="j">Archives of plastic surgery</title><idno type="ISSN">2234-6163</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Defects involving specialised areas with characteristic anatomical features, such as the nipple, upper eyelid, and lip, benefit greatly from the use of sharing procedures. The vulva, a complex 3-dimensional structure, can also be reconstructed through a sharing procedure drawing upon the contralateral vulva. In this report, we present the interesting case of a patient with chronic, massive, localised lymphedema of her left labia majora that was resected in 2011. Five years later, she presented with squamous cell carcinoma over the left vulva region, which is rarely associated with chronic lymphedema. To the best of our knowledge, our management of the radical vulvectomy defect with a labia majora sharing procedure is novel and has not been previously described. The labia major flap presented in this report is a shared flap; that is, a transposition flap based on the dorsal clitoral artery, which has consistent vascular anatomy, making this flap durable and reliable. This procedure epitomises the principle of replacing like with like, does not interfere with leg movement or patient positioning, has minimal donor site morbidity, and preserves other locoregional flap options for future reconstruction. One limitation is the need for a lax contralateral vulva. This labia majora sharing procedure is a viable option in carefully selected patients.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">28194353</PMID><DateCreated><Year>2017</Year><Month>02</Month><Day>14</Day></DateCreated><DateRevised><Year>2017</Year><Month>02</Month><Day>24</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">2234-6163</ISSN><JournalIssue CitedMedium="Print"><Volume>44</Volume><Issue>1</Issue><PubDate><Year>2017</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Archives of plastic surgery</Title><ISOAbbreviation>Arch Plast Surg</ISOAbbreviation></Journal><ArticleTitle>Labia Majora Share.</ArticleTitle><Pagination><MedlinePgn>80-84</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.5999/aps.2017.44.1.80</ELocationID><Abstract><AbstractText>Defects involving specialised areas with characteristic anatomical features, such as the nipple, upper eyelid, and lip, benefit greatly from the use of sharing procedures. The vulva, a complex 3-dimensional structure, can also be reconstructed through a sharing procedure drawing upon the contralateral vulva. In this report, we present the interesting case of a patient with chronic, massive, localised lymphedema of her left labia majora that was resected in 2011. Five years later, she presented with squamous cell carcinoma over the left vulva region, which is rarely associated with chronic lymphedema. To the best of our knowledge, our management of the radical vulvectomy defect with a labia majora sharing procedure is novel and has not been previously described. The labia major flap presented in this report is a shared flap; that is, a transposition flap based on the dorsal clitoral artery, which has consistent vascular anatomy, making this flap durable and reliable. This procedure epitomises the principle of replacing like with like, does not interfere with leg movement or patient positioning, has minimal donor site morbidity, and preserves other locoregional flap options for future reconstruction. One limitation is the need for a lax contralateral vulva. This labia majora sharing procedure is a viable option in carefully selected patients.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Lee</LastName><ForeName>Hanjing</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Division of Plastic, Reconstructive and Aesthetic Surgery, Department of General Surgery, National University Health System, Singapore.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Yap</LastName><ForeName>Yan Lin</ForeName><Initials>YL</Initials><AffiliationInfo><Affiliation>Division of Plastic, Reconstructive and Aesthetic Surgery, Department of General Surgery, National University Health System, Singapore.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Low</LastName><ForeName>Jeffrey Jen Hui</ForeName><Initials>JJ</Initials><AffiliationInfo><Affiliation>Department of Obstetrics and Gynaecology, National University Health System, Singapore.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lim</LastName><ForeName>Jane</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Division of Plastic, Reconstructive and Aesthetic Surgery, Department of General Surgery, National University Health System, Singapore.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>01</Month><Day>20</Day></ArticleDate></Article><MedlineJournalInfo><Country>Korea (South)</Country><MedlineTA>Arch Plast Surg</MedlineTA><NlmUniqueID>101577999</NlmUniqueID><ISSNLinking>2234-6163</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>J Plast Reconstr Aesthet Surg. 2011 Oct;64(10):1383-5</RefSource><PMID Version="1">21377946</PMID></CommentsCorrections><CommentsCorrections 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Version="1">12077591</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Semin Plast Surg. 2011 May;25(2):148-54</RefSource><PMID Version="1">22547972</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Urol Int. 2006;76(1):87-8</RefSource><PMID Version="1">16401928</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am J Surg Pathol. 1998 Oct;22(10 ):1277-83</RefSource><PMID Version="1">9777990</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>SAGE Open Med Case Rep. 2013 Sep 19;1:2050313X13496507</RefSource><PMID Version="1">27489627</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Indian J Dermatol. 2010 Oct;55(4):387-9</RefSource><PMID Version="1">21430898</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am J Dermatopathol. 2015 Jul;37(7):551-4</RefSource><PMID Version="1">26091513</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Sao Paulo Med J. 2010 Jan;128(1):42-4</RefSource><PMID Version="1">20512280</PMID></CommentsCorrections></CommentsCorrectionsList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Carcinoma, squamous cell</Keyword><Keyword MajorTopicYN="N">Lymphedema</Keyword><Keyword MajorTopicYN="N">Perineum</Keyword></KeywordList><CoiStatement>No potential conflict of interest relevant to this article was reported.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>08</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2016</Year><Month>09</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2016</Year><Month>09</Month><Day>27</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>2</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>2</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>2</Month><Day>15</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28194353</ArticleId><ArticleId IdType="doi">10.5999/aps.2017.44.1.80</ArticleId><ArticleId IdType="pmc">PMC5300930</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Singapour</li></country></list><tree><country name="Singapour"><noRegion><name sortKey="Lee, Hanjing" sort="Lee, Hanjing" uniqKey="Lee H" first="Hanjing" last="Lee">Hanjing Lee</name></noRegion><name sortKey="Lim, Jane" sort="Lim, Jane" uniqKey="Lim J" first="Jane" last="Lim">Jane Lim</name><name sortKey="Low, Jeffrey Jen Hui" sort="Low, Jeffrey Jen Hui" uniqKey="Low J" first="Jeffrey Jen Hui" last="Low">Jeffrey Jen Hui Low</name><name sortKey="Yap, Yan Lin" 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