creators_name: Gurubasavanagoud, Y creators_name: Umadevi, K creators_name: Bafna, UD creators_name: Challa, VR creators_name: Reddihalli, P creators_id: basavangoud1976@gmail.com editors_name: Kakkilaya, Srinivas editors_id: Kakkilaya BS type: journale datestamp: 2013-05-04 23:07:34 lastmod: 2013-05-04 23:07:34 metadata_visibility: show title: Morbidity following Surgical Management of Vulval Cancer. ispublished: pub subjects: OJHAS full_text_status: public keywords: Carcinoma Vulva; Morbidity; Inguinofemoral lymphadenectomy. abstract: The objective of this study was to know the complications following vulvectomy and inguinofemoral lymphadenectomy including the time taken to complete wound healing. 42 patients who were subjected to either radical or modified radical vulvectomy for primary and inguinofemoral lymphadenectomy (80 groins) for groin metastases were analysed retrospectively. The complications analysed were wound breakdown, wound cellulitis or infection, lymphocyst, limb edema and the time to wound healing. In a total of 80 inguinofemoral lymphadenectomies 55% had wound breakdown, 17.5% had wound infection/cellulitis, lymphocyst in 31%, limb edema in 36% and time taken for complete wound healing ranged from 10-134 (average 46 days). Overall post operative morbidity was 85%. date: 2012-10-25 date_type: published publication: Online Journal of Health and Allied Sciences volume: 11 number: 3(3) publisher: Kakkilaya BS refereed: TRUE referencetext: 1. Stehman FB. Invasive cancer of the Vulva. In Disaia P, Creasman W. (Eds.) Clinical Gynecologic Oncology. Mosby, 7th edition, 2007. pp.235–264. 2. Jemal A, Murray T, Ward E, et al. Cancer statistics, 2005. CA Cancer J Clin 2005;55:10-30. 3. Ansink A, Vander VJ. Surgical intervention for early squamous cell carcinoma of the vulva (Chochrane Review) In: The Cochrane Library, Issue 4, 2001. Oxford Update Software. 4. Thomas GM, Dembo AJ, Bryson SC, et al. Changing concepts in the management of vulvar cancer. Gynecol Oncol 1991;42: 9-21. 5. Hacker NF, Vander VJ. Conservative management of early vulvar cancer. Cancer 1993;71:1673-1674 6. Cavanagh D, Fiarica JV, Hoffman MS, et al. Invasive carcinoma of the vulva: Changing trends in surgical management. Am J Obstet Gynecol 1990;163:1007-1015. 7. Burke TW, Stringer CA, Gershenson DM, Edwards CI, Morris M, Wharton JT, et al. Radical wide excision and selective inguinal node dissection for squamous cell carcinoma of the vulva. Gynecol Oncol 1990;38:328-32. 8. Barton DP. The prevention and mangement of treatment related morbidity in vulvar cancer. Best Pract. Res Clint Obstet Gynecol 2003;17: 683-701. 9. Hopkin MP, Reid GC, Morley GW: Radical Vulvectomy. The decision for the incision. Cancer 1993;71:1675-1677. 10. Morgan MA, Mikuta JJ. Surgical management of vulvar cancer. Semin Surg Oncol 1999;17:168-172. 11. Gould N,Kamelle S, Tillmanns T et al. Predictors of complications after inguinal lymphadenectomy. Gynecologic Oncology. 2001;82(2):329–332. 12. Gaarenstroom KN, Kenter GG, Trimbos JB et al. Postoperative complications after vulvectomy and inguinofemoral lymphadenectomy using separate groin incisions.International Journal of Gynecological Cancer. 2003;13(4):522–527. 13. Rouzier R, Haddad B, Dubernard G et al. Inguinofemoral dissection for carcinoma of the vulva: effect of modifications of extent and technique on morbidity and survival. Journal of the American College of Surgeons. 2003;196(3):442–450. 14. Ayhan A, Tuncer ZS, Akarin R et al. Complications of radical vulvectomy and inguinal lymphadenectomy for the treatment of carcinoma of the vulva. Journal of Surgical Oncology 1992;51(4):243-245. 15. Podratz KC, Symmonds RE, Taylor WF. Carcinoma of the vulva: analysis of treatment failures. Am J Obstet Gynecol 1982;143:340–351 FIGO 16. Soliman AA, Heubner M, Kimmig R et al. Morbidity of Inguinofemoral Lymphadenectomy in Vulval Cancer. The Scientific World Journal Volume 2012, Article ID 341253, 4 pages citation: Gurubasavanagoud, Y and Umadevi, K and Bafna, UD and Challa, VR and Reddihalli, P (2012) Morbidity following Surgical Management of Vulval Cancer. [Journal (On-line/Unpaginated)] document_url: http://cogprints.org/8913/1/2012-3-3.pdf