{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T10:11:20Z","timestamp":1790071880761,"version":"4.0.1"},"reference-count":13,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,11,20]],"date-time":"2020-11-20T00:00:00Z","timestamp":1605830400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the feasibility and complication rate of the V\u2010Y gluteal fold flap in surgery for vulvar cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From June 2015 to June 2018, 62 patients surgically treated for vulvar cancer were included in the study. Twenty\u2010three (37.1%) underwent plastic reconstructive surgery with V\u2010Y advancement flaps.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean surgical time was longer for patients undergoing V\u2010Y flap surgery. The margins were positive in six patients (9.7%), close (&lt;8\u00a0mm) in 10 (16.1%), and adequate (&gt;8\u00a0mm) in 46 (74.2%). Six (9.7%) patients had dehiscence and two (3.2%) patients suffered from necrosis. In patients undergoing V\u2010Y flap reconstruction, two (8.7%) had a wound dehiscence, no patients had necrosis. In patients undergoing direct closure, four (10.3%) had wound dehiscence and two (5.1%) had necrosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>V\u2010Y gluteal fold advancement technique is a safe procedure, performed in a single surgical session with minimal increase in surgical time and low wound healing complications. Use of this technique was correlated with an increased rate of adequate surgical margins (&lt;8\u00a0mm) and reduced need for adjuvant radiotherapy.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.13430","type":"journal-article","created":{"date-parts":[[2020,10,24]],"date-time":"2020-10-24T08:05:26Z","timestamp":1603526726000},"page":"421-424","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["The V\u2010Y gluteal fold advancement flap: Outcomes following radical surgery for vulvar malignancies"],"prefix":"10.1002","volume":"152","author":[{"given":"Andrea","family":"Giannini","sequence":"first","affiliation":[{"name":"The Simpson Centre for Reproductive Medicine\u2014Gynaecological Oncology Unit Royal Infirmary Edinburgh University Hospitals of Edinburgh Edinburgh UK"},{"name":"Department of Gynecologic and Obstetric Sciences, and Urologic Sciences Umberto I Hospital University of Rome \u201cSapienza\u201d Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Violante","family":"Di Donato","sequence":"additional","affiliation":[{"name":"Department of Gynecologic and Obstetric Sciences, and Urologic Sciences Umberto I Hospital University of Rome \u201cSapienza\u201d Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ottavia","family":"D\u2019Oria","sequence":"additional","affiliation":[{"name":"Department of Gynecologic and Obstetric Sciences, and Urologic Sciences Umberto I Hospital University of Rome \u201cSapienza\u201d Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele Carlo","family":"Schiavi","sequence":"additional","affiliation":[{"name":"Department of Gynecologic and Obstetric Sciences, and Urologic Sciences Umberto I Hospital University of Rome \u201cSapienza\u201d Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"May","sequence":"additional","affiliation":[{"name":"The Simpson Centre for Reproductive Medicine\u2014Gynaecological Oncology Unit Royal Infirmary Edinburgh University Hospitals of Edinburgh Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierluigi","family":"Benedetti Panici","sequence":"additional","affiliation":[{"name":"Department of Gynecologic and Obstetric Sciences, and Urologic Sciences Umberto I Hospital University of Rome \u201cSapienza\u201d Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario Antonio","family":"Congiu","sequence":"additional","affiliation":[{"name":"The Simpson Centre for Reproductive Medicine\u2014Gynaecological Oncology Unit Royal Infirmary Edinburgh University Hospitals of Edinburgh Edinburgh UK"},{"name":"Service Chirurgie Carcinologique Gyn\u00e9cologique et S\u00e9nologique HPMetz Hopital Robert Schuman Metz France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,11,20]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21387"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0128073"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2011.11.003"},{"key":"e_1_2_7_5_1","first-page":"e403","volume-title":"Practical Gynecologic Oncology","author":"Berek JS","year":"1994"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gore.2018.08.007"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2015.03.013"},{"key":"e_1_2_7_8_1","first-page":"e173","volume-title":"Surgery for Malignant Tumors of the Vulva, Operative Gynecology","author":"Hacker NF","year":"1993"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/0007-1226(84)90049-3"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_2_7_11_1","unstructured":"NHS Scotland guidelines (Clinical Menagement Protocols \u2013 Vulvar Cancer).www.scan.scot.nhs.ukAccessed January 1 2018."},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suronc.2017.10.002"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2013.10.037"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2013.07.082"}],"container-title":["International Journal of Gynecology &amp; 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