Surgical Procedures of Preneoplastic and Neoplastic Conditions
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Over the years, treatment of early vulvar neoplasia has shifted from a radical surgical approach to tissue-sparing surgery and preservation of sexual function. For malignant conditions, separate groin incisions for the inguinal-femoral lymphadenectomy instead of en bloc resection have improved wound healing dramatically without compromising survival. Sentinel lymph node has minimized groin complications after surgery. A new approach is a laparoscopic minimally invasive inguinal lymphadenectomy (SAFE-MILND). For vulvar premalignancy the surgical options are mainly local excision and skinning vulvectomy.
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