IMMEDIATE RESULTS OF EXTENDED AND COMBINED OPERATIONS FOR VULVA CANCER

Abstract

Vulvar cancer (VC) is a fairly rare tumor. The incidence of VC, according to a number of researchers, is about 2 cases per 100 thousand population in the Russian Federation.Squamous invasive VC accounts for up to 90% of all malignant neoplasms of the female external genital organs and 1-2% of malignant epithelial tumors in women. The average age of patients with a diagnosis of VC is between 65 and 70 years.VC is the external localization of a malignant tumor. Despite this, neglect is 50-66% at the time of diagnosis. Thus, stages III-IV of the disease are detected.Surgical treatment was performed on 87 patients with malignant tumors of the female genital organs on the basis of the VIII surgical department of the Republican Clinical Oncological Dispensary of the Ministry of Health of the Republic of Belarus for 4 years (2015-2018). An analysis of the volume of operations in patients showed that when performing extended surgical interventions, the operation is most often performed on the outflow paths and a plastic component is used in the form of a displaced skin-fascial flap. With the spread of the tumor to the vaginal mucosa, the anal ring, the external opening of the urethra, the skin of the in- ner thigh, surgical treatment includes resection of neighboring organs and tissues.The most common postoperative complication was regional tissue necrosis of both the displaced skin-fascial flap and the separated flaps during inguinal-femoral lymphadenetomy. The average hospital stay for patients undergoing vulvectomy with inguinal- femoral lymphadenectomy with various combinations was 36 days.