Unified total vulvar surgery

Uniform total vulvar radical surgery for the surgical treatment of vulvar and vestibular large adenocarcinoma. The vulvar organs, in addition to fat, sweat glands, sebaceous glands, and nerve vessels, are also rich in lymphoid tissues, and the haze is the main trunk of the labia majora on both sides, which is the intersection of upward reflow. Therefore, from the anatomy and clinical findings, the vulva Cancer should be treated with extensive vulvar resection. Extensive removal of the upper part of the vulva includes resection of the vulva, the outer side is the labia majora fold, and the lower edge includes the perineum. The external incision should be 3 cm from the tumor. The vaginal wall, the base of the vulva, and the upper edge of the vaginal fascia within 10 cm of the medial resection are the pubic fascia, and both sides include the excision adductor fascia. Curing disease: Indication 1. The cancer is confined to the genital area, the diameter is 2cm, the base can move, and the lower fascia is not tired. 2, the cancer is limited to the vulva, inguinal lymph nodes are swollen, hard and active, suspicious cancer metastasis. 3, the operation is more suitable for the outer side of the vulva and the posterior part of the perineal body, small anterior vulvar cancer without metastasis of the inguinal lymph node, can retain all or more of the vaginal skin bridge at the same time, the incision can be stage I Heal. Contraindications 1, where the bottom of the cancer is fixed, involving the pelvic floor fascia or pubic periosteum, or inguinal lymph nodes swollen and fixed or ulcerated are not suitable for surgery. 2, advanced cancer liver and lung metastasis, systemic chemotherapy or palliative therapy. 3, accompanied by severe heart, lung, liver complications.