Perineum of an elderly woman with multiple medical comorbidities and Bowen disease following radical vulvectomy and split-thickness skin graft reconstruction, with 95% skin graft incorporation. The radical vulvectomy wound was initially closed primarily with subsequent wound breakdown requiring debridement and wound vacuum-assisted closure (VAC) therapy for 1 week before skin graft coverage. Source: Skin Grafts, Omental Flaps, Advancement and Rotational Flaps, Radical and Reconstructive Gynecologic Cancer Surgery Citation: Bristow RE, Chi DS. Radical and Reconstructive Gynecologic Cancer Surgery; 2015 Available at: https://obgyn.mhmedical.com/DownloadImage.aspx?image=/data/books/1577/bri_ch16_f005.png&sec=95458425&BookID=1577&ChapterSecID=95458388&imagename= Accessed: November 06, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved