Introduction/Background Surgical excision forms the mainstay in treatment of vulvar cancers. A gross circumferential tumor free margin of around 2 cms is preferred. The resultant defect after a wide local excision is usually not amenable to primary closure.

Methodology This is our experience of various options of reconstruction of the vulvar defect. 17 patients of vulvar carcinoma were operated at our hospital in the last 2 years.

Results 11 patients underwent V-Y advancement myocutaneous flap reconstruction, 5 underwent pedicled anterolateral thigh flap reconstruction and medial thigh flap was used in 1 patient. There were no flap necrosis or wound dehiscence in our series.

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Abstract #424 Figure 1

Collage of various flaps at completion of surgery

Conclusion Myocutaneous flap reconstruction should be used for closure in vulvar cancers. There are many robust local flaps options. These prevent wound healing complications thus improving the quality of life of the patient and also reduces delay in initiation of any adjuvant treatment.

Disclosures NONE