Advertisement

Vulvar Disease pp 401-412 | Cite as

Surgical Procedures of Preneoplastic and Neoplastic Conditions

  • Fabrizio Bogliatto
  • Jacob Bornstein
Chapter

Abstract

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.

References

  1. 1.
    Knol AC, Hage JJ. The infragluteal skin flap: a new option for reconstruction in the perineogenital area. Plast Reconstr Surg. 1997;99:1954–9.CrossRefGoogle Scholar
  2. 2.
    De Hullu JA, Hollema H, Lolkema S, Boezen M, Boonstra H, Burger MP, Aalders JG, Mourits MJ, Van Der Zee AG. Vulvar carcinoma. The price of less radical surgery. Cancer. 2002;95:2331.CrossRefGoogle Scholar
  3. 3.
    Van der Zee AGJ, Oonk MH, De Hullu JA, Ansink AC, Vergote I, Verheijen RH, et al. Sentinel node dissection is safe in the treatment of early-stage vulvar cancer. J Clin Oncol. 2008;26:884–9.CrossRefGoogle Scholar
  4. 4.
    van der Velden J, Fons G, Lawrie TA. Primary groin irradiation versus primary groin surgery for early vulvar cancer. Cochrane Database Syst Rev. 2011;5:CD002224.Google Scholar
  5. 5.
    Wills A, Obermair A. A review of complications associated with the surgical treatment of vulvar cancer. Gynecol Oncol. 2013;131:467–79.CrossRefGoogle Scholar
  6. 6.
    FIGO Committee on Gynecologic Oncology. FIGO staging for carcinoma of the vulva, cervix, and corpus uteri. Int J Gynaecol Obstet. 2014;125:97–8.CrossRefGoogle Scholar
  7. 7.
    Lawrie TA, Patel A, Martin-Hirsch PPL, Bryant A, Ratnavelu NDG, Naik R, Ralte A. Sentinel node assessment for diagnosis of groin lymph node involvement in vulval cancer. Cochrane Database Syst Rev. 2014;6:CD010409.Google Scholar
  8. 8.
    Micheletti L, Preti M. Surgery of the vulva in vulvar cancer. Best Pract Res Clin Obstet Gynaecol. 2014;28:1074–87.CrossRefGoogle Scholar
  9. 9.
    Covens A, Vella ET, Kennedy EB, Reade CJ, Jimenez W, Le T. Sentinel lymph node biopsy in vulvar cancer: systematic review, meta-analysis and guideline recommendations. Gynecol Oncol. 2015;137:351–61.CrossRefGoogle Scholar
  10. 10.
    Höckel M, Schmidt K, Bornmann K, Horn LC, Dornhöfer N. Vulvar field resection: novel approach to the surgical treatment of vulvar cancer based on ontogenetic anatomy. Gynecol Oncol. 2010;119(1):106–13.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Fabrizio Bogliatto
    • 1
  • Jacob Bornstein
    • 2
  1. 1.Department of Obstetrics and Gynaecology, Lower Female Anourogenital Tract NetworkChivasso Civic HospitalTurinItaly
  2. 2.Department of Obstetrics and Gynecology Galilee Medical Center, Bar-Ilan University Faculty of MedicineNahariyaIsrael

Personalised recommendations