scholarly journals Surgical treatment of locally advanced vulvar cancer

2021 ◽  
Vol 10 (3) ◽  
pp. 20-25
Author(s):  
A.  A. Mukhin ◽  
A.  V. Vazhenin ◽  
V.  V. Saevets ◽  
A.  V. Taratonov

The article discusses the choice of different surgical procedures in patients with locally advanced vulvar cancer, depending on the volume of resected tissues and the possibility of reconstructive plastic surgery. The advantages and disadvantages of various plastic reconstructive techniques are provided. The issue of wound closing after the vulvectomy and the plastic techniques has always been controversial and led to the sophistication of the reconstructive component, as well as to the limitations or refusal of this surgical procedure use.

2020 ◽  
Author(s):  
Elena Dikareva ◽  
Eduard Komlichenko ◽  
Tatiana Pervunina ◽  
Igor Govorov ◽  
Elena Ulrikh

Author(s):  
Cherenkov V. G. ◽  
Sannikova M. V. ◽  
Alexandrova I. V. ◽  
Pacewicz K. G K. G. Pacwich ◽  
Egorova E. S.

With vulvar dysplasia, sclerotic deprive and suspected cancer under our observation there were respectively 115 and 97 patients. The effectiveness of treatment of vulva dystrophy (VIN II-III degree) by the method of photodynamic therapy (PDT) 45.8=4.7%. However, dysplasia II - III degree, sclerotic changes with the formation of pronounced horn scales prevents the full PDF and recurrence of the disease. Therefore, the treatment of choice is surgical treatment with a reconstructive plastic. In order to reduce bleeding and antiblastic we used krioapplikatsiya, apparate "Harmonics", and the decay of tumor angiographic chemoembolization before surgery. 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 No 2580665 from 11.11.14), have helped to reduce complications, improve cosmetic effect and reduce the duration of lymphorrhea in 2-3 days.


2019 ◽  
Vol 26 (1) ◽  
pp. 42-48
Author(s):  
A. V Yadrina ◽  
V. Y Karpenko ◽  
O. V Novikova ◽  
N. M Bychkova ◽  
V. A Derzhavin ◽  
...  

Desmoid fibroids (DF) are mesenchymal tumours consisting of differentiated fibroblasts and excessive amounts of collagen fibres. DF are extremely rare pathology, its frequency is 2-4 cases per 1 million people per year and it is less than 3% of all soft tissue tumours. The surgical method is the main in the treatment of DF, however, while a surgeon ensuring a negative border of resection, there are functional and cosmetic defects that require reconstruction. This study presents the results of surgical treatment of 40 patients with DF extraabdominal localization using reconstructive plastic surgery, as well as adjuvant drug treatment with a positive border of resection. Conflict of interest: the authors state no conflict of interest Funding: the study was performed with no external funding


2020 ◽  
Vol 27 (3) ◽  
pp. 73-78
Author(s):  
Nikolai V. Zagorodnii ◽  
Vadim Y. Karpenko ◽  
Gennady N. Berchenko ◽  
Anatoly L. Karasev ◽  
Alexander S. Zelyanin ◽  
...  

Abstract: Soft tissue sarcomas are a rare heterogeneous group of malignant tumor of different origin. The small quantity patients with this diagnosis leads to a lack of scientific data on the treatment of such patients. This article presents a clinical case of a patient with spindle-cell paravertebral sarcoma of soft tissues of pelvic localization, who get surgical treatment in the volume of reconstructive plastic surgery with endoprosthesis of the sacroiliac joint.


2005 ◽  
Vol 54 (5S) ◽  
pp. 24-24
Author(s):  
E. F. Kira ◽  
P. V. Lyatoshinskaya ◽  
V. F. Bezhenar

Objective: the detrmination of indications and contraindications for reconstructive-plastic surgery of uterine tubes in patient with hydrosalpinx. Materials and methods. We have operated 159 female patients with tubo-pertironeal sterility, which resulted from existence of hydrosalpinx. All patients were underwent salpingoneostomy with application of laparoscopic (n=122) or microsurgical (n=47) technique. In 26 cases the microbiopsy of ampullar part endosalpinx of uterine tube with subsequent investigation of its ultrastructure by method of light and electronic microscopy (microscope Hitachi, Japan) was performed.


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