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.
Original language | English |
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Title of host publication | Vulvar Disease |
Subtitle of host publication | Breaking the Myths |
Publisher | Springer International Publishing |
Pages | 401-412 |
Number of pages | 12 |
ISBN (Electronic) | 9783319616216 |
ISBN (Print) | 9783319616209 |
DOIs | |
State | Published - 1 Jan 2019 |
Bibliographical note
Publisher Copyright:© Springer International Publishing AG, part of Springer Nature 2019.