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Vulvectomy and bilateral groin node dissection are the preferred surgical treatments for early disease and increase survival.
Lymphadenectomy in the form of bilateral groin node dissection (BGND) is performed for all central tumors with depth of invasion greater than 1 mm, unless there is significant comorbidity contraindicating this, but is known to cause significant postoperative morbidity.
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To determine, in a population-based cohort of vulvar cancer patients, if groin node dissection (GND) decreases the risk of groin recurrence and increases overall survival.
Median follow-up was 42 months after radical vulvectomy with groin node dissection.
However, in a Gynecologic Oncology Group GOGG) study published by Stehman et al., an unexpectedly high incidence of groin node recurrence following superficial groin node dissection was found [ 50, 51].
Certainly, radical groin node dissection with removal of the fascia lata and resection of the saphenous vein is not justified.
Recurrence in the groin is known to be most likely fatal in outcome, which emphasises that any attempt to adopt a more conservative approach to groin node dissection must be carefully and critically evaluated.
We report the first case of use of the PlasmaJet® (PJ) (Plasma Surgical Limited, Oxfordshire, UK) system following groin node dissection to prevent lymphocyst formation and wound complications.
She subsequently underwent radical hysterectomy with bilateral salpingo-oophorectomy and bilateral pelvic lymph node dissection.
The patient underwent total abdominal hysterectomy, bilateral salpingo-oophorectomy, omentectomy, bilateral pelvic lymph node dissection, excision of tumor from the surface of the sigmoid and left pelvic side wall.
Unilateral or bilateral neck node dissection was performed on 140 (54.7%) patients.
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