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Radical vulvectomy by two different surgical incisions
1Department of Obstetrics and Gynaecology, Foundation University Medical College, Fauji Foundation Hospital, Rawalpindi.
JPMA. the Journal of the Pakistan Medical Association
|March 21, 2007
Summary
Radical vulvectomy using the triple incision technique resulted in lower mortality and morbidity compared to the butterfly incision. Recurrence rates were similar between both surgical methods for vulval carcinoma treatment.
Area of Science:
- Oncology
- Surgical Oncology
- Gynecologic Oncology
Background:
- Vulval carcinoma treatment often involves radical vulvectomy.
- Surgical technique choice impacts patient outcomes.
Purpose of the Study:
- To compare the outcomes of radical vulvectomy for vulval carcinoma using butterfly versus triple incision techniques.
Main Methods:
- A comparative study of 35 patients with vulval carcinoma from 1992-2003.
- Patients underwent radical vulvectomy via butterfly (23) or triple (11) incision.
- Data collected included complications, hospital stay, recurrence, and mortality.
Main Results:
- The butterfly incision group showed significantly higher rates of wound dehiscence, induration, and lymphoedema.
- Per-operative blood loss, operative time, and hospital stay were significantly greater with the butterfly incision.
- Mortality was higher in the butterfly incision group, while recurrence rates were comparable between the two techniques.
Conclusions:
- Radical vulvectomy by triple incision offers comparable recurrence rates to the butterfly incision.
- The triple incision technique is associated with significantly lower mortality and morbidity for vulval carcinoma treatment.
