Perioperative morbidity of Vulval cancer Nipanal Hanumant V1,*, Reddy Susmitha Shivanna2, Mauryya Dilip Kumar3, Nagendra Ravindra P.4 1Assistant Professor, Dept. of Obstetrics and Gynecology, Gadag Institute of Medical Sciences (GIMS), Gadag, India 2PG Student, Dept. of Pathology, BLDE university Vijayapur, Karnataka, India 3Associate Professor, Dept. of Obstetrics and Gynecology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India 4Professor and HOD, Dept. of Physiology, Gadag Institute of Medical Sciences(GIMS), India *Corresponding Author Email: hanumant.1210@rediffmail.com
Online published on 24 September, 2018. Abstract Introduction The present study is a retrospective analysis of vulval cancer patients who had been treated with surgery as primary mode. The cases studied were in tertiary care hospital south India of March 2008 to February 2013. Total number of patients was Materials and Methods The medical records of all patients studied retrospectively with reference to stage of the disease, surgery performed, prophylactic antibiotics, intra-operative and postoperative complications. Results Among 11 patients 9 were postmenopausal. Ten patients histopathology showed stage 1b cancer for whom simple vulvectomy was performed, one patient had co-existing HGSIL(High Grade Squamous Intraepithelial Lesion) and positive right inguinal nodes, requiring TAH+ BSO+ right groin dissection and posterior colporrhaphy was done in one patient with rectocele. One patient presented with stage 2 disease for which radical vulvectomy with bilateral groin lymph node dissection was carried out. Postoperative radiotherapy was given for 8 patients with tumor positive margins. Conclusion Even though many modifications in surgical methods of vulval cancer still morbidity is high. Particularly surgical complication of wound infection. This delay will further add up for delay in starting adjuvant treatment. Hence there is a need of further modifications of surgical treatments like minimally invasive approach. A team of oncology surgeons, medical oncologists, radiotherapists is needed to manage this rare cancer. With multidisciplinary approach Surgery for early stage vulval cancer has acceptable morbidity. Top Keywords Carcinoma vulva, Saphenous vein, Vulval cancer. Top |