Open AccessDisplasia and Cancer of the Vulva. Finding Ways to Improve the Effectiveness and Quality of Treatment Results
Author(s) -
Cherenkov V. G
Publication year - 2019
Publication title -
journal of obstetrics gynecology and reproductive sciences
Language(s) - English
Resource type - Journals
ISSN - 2578-8965
DOI - 10.31579/2578-8965/024
Subject(s) - medicine , vulvar cancer , surgery , sex organ , vulva , dysplasia , abdominal wall , genetics , biology
Cancer of the external genitals is up to 8 % in the overall structure of the incidence of malignant neoplasms of female genital organs. Under our observation there were 92 patients with vulvar dystrophy and suspected cancer. The effectiveness of treatment of vulvar dystrophy (VIN I-II degree) by the method of photodynamic therapy (PDT) 45.8±4.7%. However, dysplasia II - III degree, sclerotic changes with the formation of pronounced horn scales prevents the full PDT and recurrence of the disease. Reconstructive plastic surgery was performed using cryoapplication and « Harmonic» apparatus to reduce blood loss and duration of lymphorrhoea in the postoperative period. The use of new reconstructive plastic surgery, including with the use of abdominal skin and fascial flap combined with vascularized lower segments of the rectus muscles), have helped to reduce complications, improve cosmetic effect (patent for invention № 2580665 from 11.11.14).