IMR Press / EJGO / Volume 19 / Issue 4 / pii/1998181

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Original Research

A pilot study on early post-operative morbidity and technique of inguinal node dissection in vulval carcinoma

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1 Senior Lecture, Consultant in Gynaecological Oncology, Department of Gynaecological Oncology, City Hospital Trust, Birmingham, UK
2 Professor of Gynaecological Oncology, Department of Gynaecological Oncology, City Hospital Trust, Birmingham, UK
3 Consultant Gynaecological Oncologist & Surgeon, The Birmingham Womens Hospital Trust, Birmingham, UK
Eur. J. Gynaecol. Oncol. 1998, 19(4), 374–376;
Published: 10 August 1998
Abstract

Inguinal lymphadenectomy is part of the management plan for most cases of vulval carcinoma. The surgical techniques have been modified over the years resulting in less destructive operations. Even so, inguinal lymphadenectomy continues to pose difficulties particularly relating to wound breakdown and lymphocyst formation. Many different methods are described, though none have undergone any comparative assessment regarding morbidity. This small study compares two methods performed on the same patients. The radical procedure included excision of the fascia lata and exposure of the femoral vessels and nerve. The anatomi­cally-directed method was more conservative with surgery directed at removing the nodes as described in anatomical textbooks. Both methods resulted in equal lymph node retrival, though the subjective short-term morbidity was reduced with the more con­servative surgery. This approach did not result in any detrimental outcomes regarding relapse disease, though a randomised trial is required to corroborate these findings.

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