AbstractThe purposes of this study are to demonstrate our experience in using the Blotus petal^ suprafascial flap and to evaluate the postoperative complications. During the period ranging from July 2012 to March 2015, nine patients diagnosed with primary or
recurrent vulvar cancer have undergone radical vulvectomy followed by reconstructive surgery. Seven-teen lotus petal suprafascial flap surgeries were per-formed. The average age of the patients was 79 years. No intraoperative complications were reported. The sur-gery lengthwas180minwithanestimatedbloodloss of 400 cc. Severe postoperative complications were rare. There were no complications associated with the donor
site, nor were there any losses due to total or partial flap tissue necrosis. There were 2 (22.2 %) cases of partial wound dehiscence, which did not require re-in-tervention. The lotus petal suprafascial flap is a simple procedure that can be done during the same surgery as the radical vulvectomy, improving the aesthetic results and reducing both the rate of complications and hospital stay