Review Article
Volume 9 Issue 12 - 2020
Combined and Reconstructive Plastic Surgery in the Treatment of Dysplasia and Cancer of the Vulvac
Cherenkov VG*, Pasevich KG and Alexandrova IV
Institute Medical Education NovGU Yaroslav-the-Wise, Regional Clinical Oncology Centre, Veliky Novgorod, Russia
*Corresponding Author: Cherenkov VG, Institute Medical Education NovGU Yaroslav-the-Wise, Regional Clinical Oncology Centre, Veliky Novgorod, Russia.
Received: June 30, 2020; Published: November 30, 2020




Abstract

The incidence of cancer of the vulva (CV) with certain fluctuations over the past 17 years (2001 - 2018) in the Novgorod region has increased almost 3 times, mainly in the elderly, although younger people associated with HPV also become ill. It was found that the use of new technologies of reconstructive plastic surgery for vulva cancer and dysplasia of II-III degree in 214 patients, including cryoapplication and extended operations using radio-wave scalpel devices "harmonics", followed by reconstructive plastic surgery for vulva cancer, reduced blood loss and mortality to 0.58 per 100 thousand women.

We observed 95 patients with vulvar dysplasia and sclerotic lesion, treatment with photodynamic therapy (PDT) was effective only in 41 women (43.1 ± 4.2%), and the rest had a relapse. 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 (patent for invention № 2580665 from 11.11.14), have helped to reduce complications, improve cosmetic effect and reduce the duration of lymphorrhea in 2 - 3 days.

Keywords: Dysplasia; Vulvar Cancer; PDT; Cryoapplication; Resection of the Urethra; Reconstructive Plastic Surgery of the Abdominal Skin and Lower Segments of the Rectus Muscles

References

  1. Kaprin AD., et al. “Malignant neoplasms in Russia” (2018).
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  3. Gubaidulina TN., et al. “Efficiency of surgical treatment of patients with background processes precancer and early cancer of the vulva with the use of reconstructive plastic surgery”. Surgery 2 (2008): 48.
  4. Zharov AV and Vazhenin AV. “Optimization of treatment of patients with vulvar cancer”. Chelyabinsk (2005): 131.
  5. Urmancheeva AF. “Epidemiology of vulva cancer. Risk and forecast factors”. Practical Oncology4 (2006): 189-196.
  6. Cherenkov VG and Alexandrova IV. “Experience of applying new technologies and plastic surgery in the treatment of vulva cancer”. Proceedings of the scientific conference “From x-Ray rays to innovations of the XXI century: 90 years since the Foundation of the world's first x-ray radiological Institute (Russian scientific center of radiology and surgical technologies)" (with the participation of specialists from near and far abroad) (2008): 352-353.
  7. Knapstein PG. “Erweiterte Behandlungsmöglichkeiten das Vulvakarzinomas durch plastich-reconstructive Verfahren”. Gynekol 107.24 (1985): 1479-1487.
  8. Ate Van Der Zee. “Modern treatment of vulva cancer”. Practical Oncology12 (2009): 84-85.
Citation: Cherenkov VG., et al. “Combined and Reconstructive Plastic Surgery in the Treatment of Dysplasia and Cancer of the Vulva”. EC Gynaecology 9.12 (2020): 62-66.

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