Dr. Ken Hatch discusses Vulvar Flaps. Techniques for V-Y flaps and strategies to choose the right flap for reconstruction.
Important point: If vulvar tissue has been previously radiated, bring a flap from non-radiated area with fresh blood supply.
Here is an excellent video by Dr. Jean Dubuisson on Youtube
How to choose the correct reconstruction
Here is an algorithm from the Journal of Gynecologic Oncology - Access if free for all