{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,19]],"date-time":"2025-05-19T11:29:40Z","timestamp":1747654180082,"version":"3.40.5"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,12,19]],"date-time":"2022-12-19T00:00:00Z","timestamp":1671408000000},"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":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the effect of sub\u2010regional split\u2010thickness skin grafting in perineal resurfacing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A single\u2010center retrospective study was conducted in the Genital Plastic Surgery Center. Detailed clinical data of 14 consecutive patients who underwent split\u2010thickness skin grafting after vulvar tumor resection from February 2013 to June 2022 were analyzed. Clinical data, postoperative photographs, scoring of vulvar appearance, and questionnaire results of the Female Sexual Function Index before and after surgery were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The patients had sub\u2010regional split\u2010thickness skin grafting ranging from 7\u2009\u00d7\u20098\u00a0cm to 11\u2009\u00d7\u200912\u2009cm (88.86\u2009\u00b1\u200924.99\u2009cm<jats:sup>2<\/jats:sup>). After a follow\u2010up of 8.21\u2009\u00b1\u20092.22\u2009months (mean\u2009\u00b1\u2009SD), all patients had a three\u2010dimensional and aesthetically pleasing vulva and high scoring of vulvar appearance (mean\u2009\u00b1\u2009SD, 4.43\u2009\u00b1\u20090.65). All patients had good healing of both the recipient and donor sites without major complications. Only one patient had minor dehiscence in the perineal region and recovered soon after proper treatment. The scores of the Female Sexual Function Index were significantly improved after surgery. Among the included domains, scores of \u201cdesire,\u201d \u201carousal,\u201d \u201corgasm\u201d and \u201csatisfaction\u201d increased significantly after surgery (<jats:italic>p<\/jats:italic> value &lt;0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Sub\u2010regional split\u2010thickness skin grafting could achieve excellent cosmetic outcomes with few complications in perineal reconstruction after the excision of superficial vulvar tumors. It can provide an aesthetically pleasing appearance in the vulvar region and improve female sexual function to some extent. In general, sub\u2010regional split\u2010thickness skin grafting could be a recommended reconstructive option to repair vulvar defects.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.15525","type":"journal-article","created":{"date-parts":[[2022,12,20]],"date-time":"2022-12-20T00:27:30Z","timestamp":1671496050000},"page":"1012-1018","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Sub\u2010regional skin grafting for perineal resurfacing after excision of superficial vulvar tumors: An excellent method to achieve an aesthetically pleasing appearance"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6976-8454","authenticated-orcid":false,"given":"Kexin","family":"Che","sequence":"first","affiliation":[{"name":"Gynecological Plastic Surgery Department Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keke","family":"Wang","sequence":"additional","affiliation":[{"name":"Gynecological Plastic Surgery Department Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ye","family":"Yuan","sequence":"additional","affiliation":[{"name":"Gynecological Plastic Surgery Department Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fengyong","family":"Li","sequence":"additional","affiliation":[{"name":"Gynecological Plastic Surgery Department Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College  Beijing 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