PERINEO-VAGINAL RECONSTRUCTION WITH IPAP PROPELLER FLAP A CASE REPORT

Abstract

ABSTRACT Background: Perineal defects occur due to infections, trauma or after tumor resection in the region. There are many options for reconstructions, from spontaneous healing to free flaps. However, usage of local flaps seems most reasonable and feasible. Since perineum bears several orifices, this can lead to infection and reconstructive failure. That is why, these defects are really challenging for plastic surgeons. Case report: We present a case of reconstruction of vagino-perineal defect after resection of proliferative vulvar planocellular carcinoma, by using internal pudental artery perforator flap (iPAP) designed in a propeller fashion. Conclusion: Propeller perforator flaps are novel reconstructive methods that can be used successfully for perineal reconstruction, resulting in good functional and aesthetic outcome with minimal donor site morbidity.