# Pedicled Anterolateral Thigh Flap (ALT) for Vulva Reconstruction: Journey to a New Horizon

## TL;DR

This paper discusses a surgical case using a pedicled anterolateral thigh flap for vulva reconstruction after cancer surgery.

## Contribution

The paper highlights the use of a combined V–Y plasty and ALT flap for vulva reconstruction as an additional skill in plastic surgery.

## Key findings

- The patient recovered uneventfully after the combined surgical procedure.
- The procedure enabled a tension-free repair following a partial deep vulvectomy.

## Abstract

Surgery for vulval malignancies necessitates extensive resection necessitating the use of musculocutaneous grafts. We present one such case where the patient needed both a V–Y plasty and an anterolateral thigh flap to ensure a tension-free repair. She underwent a partial deep vulvectomy followed by V–Y plasty and ALT flap. The procedure has been described in detail along with intraoperative photographs. She recovered uneventfully and is receiving post-operative adjuvant radiotherapy. We would like to highlight this “additional skill” of plastic surgery which will empower surgeons to undertake radical surgeries to ensure the best outcomes for patients.