V-Y adipose skin flap for the treatment of extensive perianal condylomatosis

Introduction: Perianal condylomatosis is a common disease that can involve large areas of skin and anal mucosa, making treatment complex. From a surgical point of view, there are several therapeutic options ranging from primary closure to myocutaneous flap rotation. Aim: Describe the surgical technical details of the VY flap based on the report of 4 clinical cases with extensive perianal condylomatosis as part of the comprehensive treatment of the disease. Methods: Retrospective, descriptive study of patients operated on at Hospital de Clínicas (UDELAR) and CASMU mutual society. Analysis was performed on 4 patients who presented with extensive perianal condylomatosis of approximately 5-6 cm radius of the anal margin in the 5-year time period. Result: In all 4 cases, surgical treatment was performed by rotating the skin flap in VY of the disease; in 1 of the cases, complementary therapy with cryotherapy was also performed. We had no cases of stenosis or flap necrosis. Conclusion: Surgery is a fundamental arm in the treatment of perineal condylomatosis. Reconstruction using a VY adipose skin flap is a possible alternative. The use of several complementary therapeutic modalities is essential in the management of this pathology.