Use of deep inferior epigastric artery flaps for reconstruction of the female genitalia

Abstract

Free skin grafts have been the most conventional choice for reconstructing the female genital area after excision of malignant tumours. However, some patients have developed scar contractures, or depressed deformities or ectropion of the mucosal membrane of the urethra or vagina. We discuss here the use of deep inferior epigastric artery (DIEA) flaps. Although the method leaves a scar in the abdominal region, it can be hidden by underwear. We have operated on six patients with satisfactory results.

• deep inferior epigastric artery (DIEA) flap
• extramammary Paget disease
• squamous cell carcinoma
• genital reconstruction
• female