Welcome to the 2021 IGCS Meeting Program Scheduling

The meeting will officially run on Central European Time (Rome time-zone, GMT+2)

To convert the meeting times to your local time Click Here

 

 

 

Displaying One Session

On Demand Hall

Session Type
Surgical Film Cinema
Room
On Demand Hall
Date
08/30/2021

VULVECTOMY- AN OPERATIVE PROCEDURE FOR CA VULVA (ID 590)

Lecture Time
01:00 PM - 05:15 PM
Presenter

Abstract

Abstract Body

INTRODUCTION

Increasing knowledge and understanding of the disease has allowed surgical procedures for the treatment of carcinoma of the vulva to become more conservative and individualized to each patient. The exact procedure used depends upon the site, size, and histologic features of the tumor.

DESCRIPTION-

Preoperative preparation — All women require explanation and counseling about the procedure.

General anesthesia is administered. The patient is positioned in lithotomy.

The skin is prepared and draped. The patient is examined and the skin to be incised is marked with a pen. A urethral catheter is inserted into the bladder

Skin incision is begun with scalpel and the dissection is taken through the subcutaneous fat to the deep fascia and pubic ramus until the intended vaginal resection margin is reached with scalpel, scissors and diathermy. The dissection is carried down toward the clitoral attachments by sweeping the specimen off the periosteum of the pubic bones conserving the deep fascia until the clitoral attachments are reached. The suspensory ligament of the clitoris is clamped, divided, and ligated.

The urethro-vaginal incision is now made circumferentially, ensuring that the required margin around the tumor is maintained. The tip of a scalpel Kelly forceps is passed through the specimen in the midline to isolate the crura divide and then suture ligated with absorbable sutures

The specimen is detached completely, and hemostasis is secured. The wound closed primarily.

CONCLUSION- Adequate surgical resection with microscopic tumor-free margin should be the key concern.Oncological resection should be equated with functional outcome.

Hide