Highlights • Keystone design perforator island flap (KPIF) has been developed by Behan in 1995.• KPIF seems to be a new innovative and useful solution after a wide vulvar excision.•… Click to show full abstract
Highlights • Keystone design perforator island flap (KPIF) has been developed by Behan in 1995.• KPIF seems to be a new innovative and useful solution after a wide vulvar excision.• We found that Key Stone technique is an extremely simple and effective solution.• KPIF seems to be associated minimal morbidity.• KPIF showed less risk of flaps necrosis and lower complications.
               
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