Radical Vulvectomy with Rectus Abdominis Flap Reconstruction for Recurrent Vulvar Cancer Post-Radiotherapy: Clinical Efficacy and Functional Outcomes

ObjectiveRecurrent vulvar cancer after radiotherapy is a devastating condition that severely impairs patients quality of life. Although radical vulvectomy can improve survival and quality of life in primary cases, patients with post-radiation recurrence are at high risk for severe wound-related complications. To address this challenge, our team adopted a combined approach of radical vulvectomy and rectus abdominis flap reconstruction, which has yielded favorable therapeutic outcomes. MethodsThis retrospective study enrolled patients with radiotherapy-recurrent vulvar cancer who underwent radical vulvectomy combined with rectus abdominis flap reconstruction between 2023 and 2024. The primary