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Algorithm for flap selection in vulvoperineal reconstruction after vulvar cancer ablative surgery. The five sections are related to the five possible defects associated with the vulvar one. ALT-VL, anterolateral thigh flap with vastus lateralis; c-ALT, cutaneous anterolateral thigh; DIEP, deep inferior epigastric perforator; Fc-ALT, fasciocutaneous anterolateral thigh; RT, radiotherapy; SCIP, superficial circumflex iliac perforator; VRAM, vertical rectus abdominis myocutaneous.
