Posterior exenteration through groin incision in a patient with stage III vulvar carcinoma.
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.
Rasmussen
C C
CC
Department of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, Iowa City 52242, USA.
Sood
A K
AK
Sorosky
J I
JI
Anderson
B
B
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*