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Federación Mexicana de Ginecología y Obstetricia, A.C.

2017, Number 03

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Ginecol Obstet Mex 2017; 85 (03)

Vulvoperineal reconstruction in vulvar cancer

Maciel-Miranda A, Miranda-Dévora G, Isla-Ortiz D, Barquet-Muñoz SA, Montalvo- Esquivel G, Herrera-Gómez A, Pérez-Quintanilla M

Language: Spanish
References: 22
Page: 152-163
PDF size: 328.78 Kb.


ABSTRACT

Background: Vulvar cancer is a relatively infrequent disease, that constitutes 1-5% of all gynecological cancers. Surgery is the mainstay treatment is adequate resection, and lymph node evaluation, often have a high risk of relapse that may reach 65%.
Advanced: stages are a surgical challenge and multidisciplinary approach with plastic surgery will provide adequate surgical margins, less complications, adequate wound closure, and early adjuvant treatment starting; as well as excellent cosmetic results, with functional, psychological and sexual morbidity decreased.
Objetives: To describe and present the alternatives of vulvoperineal reconstruction in vulvar cancer at Instituto Nacional de Cancerología, Mexico.
Methods: retrospective descriptive analysis of eleven cases of vulvoperineal reconstruction in vulvar cancer was performed from January 2015 to December 2015, at Instituto Nacional de Cancerología, Mexico; for one plastic surgeon; and demonstrated the algorithm base don their experience.
Results:We performed 11 patients of vulvar reconstruction with different reconstructive techniques, such as gracilis flapping, pudend, with a high success rate. as well as, to propose an algorithm based in our experience with vulvar cancer reconstruction at Instituto Nacional de Cancerología, Mexico.
Conclusion: The present article aims to review the reconstructive alternatives in Vulvar Cancer, several algorithms for surgical treatment have been published before; but they tend to be complex, in part because of the low incidence of Vulvar Cancer and the several options of reconstructive procedures.


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