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Issues may arise when the work involves otherinstitutions, or external laboratories (e.g. Leaving the proximal skin bridge intact, medial rotation transposes the flap into thevulvar defect and it is sutured into place (see Figure 18-15). Tinat J, Bougeard G, Baert-Desurmont S et al (2009) 2009 version of the Chompret criteria forLi Fraumeni syndrome. The same steps can be followedfor MIS using surgical telescopes or a surgical microscope.

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