Case Report: Digital CTA-assisted anterolateral thigh perforator pedicled flap for repairing postoperative defects in Vulvar Paget's disease - Takeaways - MDSpire

Case Report: Digital CTA-assisted anterolateral thigh perforator pedicled flap for repairing postoperative defects in Vulvar Paget's disease

  • By

  • Yawen Bai

  • Yifan He

  • Ping Tang

  • Zesheng Zeng

  • Wei Wang

  • Haoming Luo

  • Jianfeng Sheng

  • June 19, 2026

  • 0 min

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  • 1

    Vulvar Paget's disease often necessitates extensive surgical resection, leading to significant perineal tissue defects.

  • 2

    Preoperative digital computed tomographic angiography (CTA) aids in the planning of anterolateral thigh (ALT) flap reconstruction.

  • 3

    Digital CTA provides detailed three-dimensional mapping of perforator vessels, enhancing surgical predictability and safety.

  • 4

    The case study involved a 68-year-old woman who underwent vulvar reconstruction using an ALT flap guided by preoperative CTA.

  • 5

    Postoperative results indicated good flap perfusion, satisfactory vulvar morphology, and successful functional recovery.

Original Source(s)

Case Report: Digital CTA-assisted anterolateral thigh perforator pedicled flap for repairing postoperative defects in Vulvar Paget's disease

  • by Yawen Bai, Yifan He, Ping Tang, Zesheng Zeng, Wei Wang, Haoming Luo, Jianfeng Sheng

  • June 19, 2026

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