title: Posterior exenteration through groin incision in a patient with stage III vulvar carcinoma.
abstract: During performance of bilateral groin incisions, an abdominal incision and a colostomy has the potential risks of devascularization of the lower abdominal wall and infection. A patient with locally advanced vulvar carcinoma requiring a posterior exenteration is presented. The posterior exenteration was performed by developing an abdominal skin flap from the groin incisions. This approach offers adequate exposure and a unique solution to the potential problems associated with combining an abdominal skin incision with bilateral groin incisions and end-descending sigmoid colostomy. In addition, this approach may be cosmetically more acceptable.
authors.affiliation: Department of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, Iowa City 52242, USA.
authors.forename: C C
authors.initials: CC
authors.lastname: Rasmussen
authors.forename: A K
authors.initials: AK
authors.lastname: Sood
authors.forename: J I
authors.initials: JI
authors.lastname: Sorosky
authors.forename: B
authors.initials: B
authors.lastname: Anderson
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery*; D005260:Female; D006119:Groin; D006801:Humans; D008875:Middle Aged; D009367:Neoplasm Staging; D010385:Pelvic Exenteration / Q000379:methods*; D013524:Surgical Flaps; D014846:Vulvar Neoplasms / Q000473:pathology / Q000601:surgery*