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Ginecología y obstetricia de México
versión impresa ISSN 0300-9041
Resumen
MACIEL-MIRANDA, A et al. Vulvoperineal reconstruction in vulvar cancer. Ginecol. obstet. Méx. [online]. 2017, vol.85, n.3, pp.152-163. ISSN 0300-9041.
BACKGROUND:
Vulvar cancer is a relatively infrequent disease, that constitutes 1-5% of all gynecological cancers. Surgery is the mainstay treatment is adequate resection, and lymph node evaluation, often have a high risk of relapse that may reach 65%.
ADVANCED:
Stages are a surgical challenge and multidisciplinary ap proach with plastic surgery will provide adequate surgical margins, less complications, adequate wound closure, and early adjuvant treat ment starting; as well as excellent cosmetic results, with functional, psychological and sexual morbidity decreased.
OBJECTIVES:
To describe and present the alternatives of vulvoperineal reconstruction in vulvar cancer at Instituto Nacional de Cancerología, Mexico.
METHODS:
A retrospective descriptive analysis of eleven cases of vulvoperineal reconstruction in vulvar cancer was performed from January 2015 to December 2015, at Instituto Nacional de Cancerología, Mexico; for one plastic surgeon; and demonstrated the algorithm base don their experience.
RESULTS:
We performed 11 patients of vulvar reconstruction with different reconstructive techniques, such as gracilis flapping, pudend, with a high success rate. as well as, to propose an algorithm based in our experience with vulvar cancer reconstruction at Instituto Nacional de Cancerología, Mexico.
CONCLUSION:
The present article aims to review the reconstructive alternatives in Vulvar Cancer, several algorithms for surgical treatment have been published before; but they tend to be complex, in part be cause of the low incidence of Vulvar Cancer and the several options of reconstructive procedures.
Palabras llave : Vulvar reconstruction; Vulvoperineal reconstruction, vulvar cancer.