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Area of Science:

• Oncology
• Surgical Outcomes
• Quality of Life

Background:

• Vulvectomy is a surgical procedure involving the removal of part or all of the vulva.
• The procedure can significantly impact a patient's physical and psychological well-being.
• Loss of independence is a frequently reported consequence affecting daily activities.

Purpose of the Study:

• To describe the lived experience of a middle-aged woman following a vulvectomy.
• To explore the challenges to independence encountered in the early post-operative period.
• To provide insights into the patient's perspective on recovery and adaptation.

Main Methods:

• A qualitative, case-study approach was employed.
• In-home interviews were conducted with the patient by the researcher and a mentor.
• Data collection occurred four weeks after the surgical procedure.

Main Results:

• The patient experienced severe limitations in independence following the vulvectomy.
• Specific challenges related to personal care, mobility, and social engagement were noted.
• The early post-operative period presented significant adjustments for the patient.

Conclusions:

• Vulvectomy can lead to profound and immediate effects on a patient's independence.
• Qualitative insights are crucial for understanding the holistic impact of gynecological cancer surgery.
• Further research is needed to develop targeted support strategies for improving post-operative independence.