Advanced vulvar carcinoma: Is it worth operating? A perioperative management protocol for radical and reconstructive surgery

Francesco Fanfani, Giorgia Garganese, Anna Fagotti, Domenica Lorusso, Maria Lucia Gagliardi, Marco Rossi, Marzia Salgarello, Giovanni Scambia

Research output: Contribution to journalArticle

Abstract

Objective.: The aim of this study was to characterize the means whereby the results could be improved and the morbidity and side-effects minimized, of radical and extensive surgery performed together with plastic reconstruction, in the treatment of locally advanced and relapsed vulvar carcinoma. Methods.: Between May 2000 and November 2004, twenty-three patients with locally advanced or relapsed vulvar carcinoma underwent major radical or extended vulvectomy, requiring reconstructive surgery. A consistent protocol for the perioperative management of these patients, including precautionary measures to reduce the rate of early complications, was introduced in the second study period (from November 2003) to verify the benefit on surgical outcome. Results.: An analysis of the medical reports showed an improvement in the median time of the postoperative course and related morbidity as a consequence of a strict application of the management protocol, with consequent decrease of early complications. Conclusions.: Reconstructive surgery, which broadens the spectrum of available operative therapy in primary and locally recurrent vulvar cancer, is characterized by a high complication rate. The application of a strict perioperative protocol could reduce the number and the clinical impact of such complications.

Original languageEnglish
Pages (from-to)467-472
Number of pages6
JournalGynecologic Oncology
Volume103
Issue number2
DOIs
Publication statusPublished - Nov 2006

Keywords

  • Complication
  • Reconstructive
  • Surgery
  • Vulvar cancer

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Oncology

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    Fanfani, F., Garganese, G., Fagotti, A., Lorusso, D., Gagliardi, M. L., Rossi, M., Salgarello, M., & Scambia, G. (2006). Advanced vulvar carcinoma: Is it worth operating? A perioperative management protocol for radical and reconstructive surgery. Gynecologic Oncology, 103(2), 467-472. https://doi.org/10.1016/j.ygyno.2006.03.022