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 |
|---|---|
| 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.