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Surgical resection of vulva lymphoedema circumscriptum
Stéphane Vignes1, Maria Arrault, Patrick Trévidic
1Department of Lymphology, Hôpital Cognacq-Jay, 15, rue Eugène Millon, 75015 Paris, France. stephane.vignes@hopital-cognacq-jay.fr
Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|December 17, 2009
Summary
Surgical resection effectively treats vulva lymphangioma circumscriptum (VLC), a rare lymphatic malformation. While recurrence is common, repeat surgeries offer a well-tolerated solution for symptom relief.
Area of Science:
- Dermatology
- Plastic Surgery
- Gynecology
Background:
- Lymphangioma circumscriptum (LC) is a rare benign condition affecting dermal and subcutaneous lymphatics.
- It can be congenital or acquired, presenting challenges in management.
Purpose of the Study:
- To evaluate the efficacy of surgical resection for vulva lymphangioma circumscriptum (VLC).
Main Methods:
- A retrospective analysis of eight women treated surgically for VLC between 2000 and 2008.
- All patients underwent surgery by a specialist in lymphatic diseases.
Main Results:
- Seven out of eight women achieved symptom resolution after a median follow-up of 53 months post-last surgery.
- Recurrence occurred in five women, necessitating repeat resections (one or two additional surgeries).
- Post-surgical lymph oozing was moderate and transient in five patients.
Conclusions:
- Surgical resection is a safe and effective treatment for VLC in most cases.
- Despite frequent recurrence, repeated surgical interventions are well-tolerated and lead to symptom-free outcomes.
