IMR Press / EJGO / Volume 25 / Issue 1 / pii/2004101

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Distinguished Expert Series

Skin flaps for the Gynaecologist

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1 Department of Obstetrics & Gynaecology, Division of Gynaecologic Oncology, University of Western Ontario, London (Canada)
Eur. J. Gynaecol. Oncol. 2004, 25(1), 7–16;
Published: 10 February 2004
Abstract

Skin flaps are becoming more frequently indicated in gynecologic surgical practice, especially in oncologic surgery. It is imperative that the gynecologic surgeon of today be well informed in the many physiologic processes of wound healing, also those factors that delay and those that promote wound healing. Knowledge of the detailed anatomy of abdomen, pelvis, vulva, peritoneum and ano-rectal area is essential. An appreciation of the specific muscular attachments, action, blood supply, col­lateral circulation and nerve supply are important prerequisites. Also, a working knowledge of the tissue dynamics associa­ted with the transfer of skin, subcutaneous tissue and sometimes muscle to the required location. The important role played by vascular endothelial growth factor (VEGF), endothelial proginator cells, protein kinase C, and other factors being inve­stigated in wound healing, is exciting. There are a number of procedures possible for most problems requiring tissue tran­sfer. Tension free oxygenated areas for healing is essential. All the basic surgical rules for tissue handling and would healing must be carefully applied for optimum results.

Keywords
Pelvic skin flaps
Wound healing
Tissue transfer
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