Reconstructive surgery following resection of primary vulvar cancers

This study describes the surgical treatment and follow-up of 213 patients with primary vulvar cancer; particular attention is given to reconstructive surgical procedures. The clinical and pathological parameters of the patients were recorded according to standardized procedures, and the data concern...

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Bibliographic Details
Published in:Gynecologic oncology 2005-10, Vol.99 (1), p.92-100
Main Authors: Weikel, W., Hofmann, M., Steiner, E., Knapstein, P.G., Koelbl, H.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Female
Follow-Up Studies
Humans
Middle Aged
Plastic surgery
Reconstruction
Reconstructive Surgical Procedures - methods
Surgical Flaps
Vulvar cancer
Vulvar Neoplasms - pathology
Vulvar Neoplasms - surgery
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Summary:This study describes the surgical treatment and follow-up of 213 patients with primary vulvar cancer; particular attention is given to reconstructive surgical procedures. The clinical and pathological parameters of the patients were recorded according to standardized procedures, and the data concerning type of operation, surgical reconstruction and postoperative course of disease (recurrence-free and overall survival) were analyzed. In about one-third of the cases, plastic surgery reconstruction involving skin-flaps was performed. In the present group of patients, plastic surgery procedures led to an elevated degree of operability as well as to more satisfactory results in terms of wound healing. For minor cosmetic defects, local (fasciocutaneous) skin-flaps resulted in excellent wound healing and short periods of in-patient treatment, even in patients with larger tumors. In cases exhibiting more severe wounds extending over larger areas of the vulva and its surrounding regions, similarly encouraging results were achieved using regional (myocutaneous) skin-flaps. The present study shows that reconstructive surgery of the vulva leads to good results in patients with vulvar cancer. Plastic surgery enlarges the spectrum of available operative therapy in vulvar cancer, especially in large tumors, and its application leads to a favorable oncological outcome as well as excellent cosmetic results in patients with vulvar cancer.
ISSN:0090-8258
1095-6859
DOI:10.1016/j.ygyno.2005.05.031