Experience of the perineum defects reconstruction with the fasciocutaneous lotus petal flap after resection of anogenital skin tumors

Malignant tumors affecting perineum skin are rare. The most common neoplasms of this area are squamous cell carcinoma, melanoma, and extramammary Paget’s disease. The most effective treatment for patients with nonmetastatic types of these malignant tumors is surgery. Despite relative technical simplicity of radical resection of the affected skin, the difficulties of defects reconstruction often limits the possibilities of surgical treatment. One of the techniques for replacement of medium-sized and large defects after surgical treatment of anogenital skin tumors is the use of regional fasciocutaneous lotus petal flap. The article presents descriptions of clinical cases of this technique using in 4 patients including 3 women with vulvar cancer and a man with extramammary Paget’s disease.