Abstract
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.
Highlights
Aim reconstructive plastic surgery, including with the use of abdominal skin and fascial flap combined with vascularized lower segments of the rectus muscles, have helped to reduce complications, improve cosmetic effect and reduce the duration of Assessment and the role of the VDT and the search of ways of increase of efficiency of diagnostics and surgical procedures in complex therapy of vulvar dystrophies and vulvar cancer
PDT was performed in 43 patients with diffuse vulvar dysplasia, Cancer of the external genitals is up to 8 % in the overall structure of the incidence of malignant neoplasms of female genital organs, relapses incl. (VIN I - 27, VIN II - 16) and in RV in order to prepare the surrounding tissues on the skin of inguinal masonry and inner that occur within the first 5 years to 60 %. [1]
Cytological examination of vulvar dysplasia allowed at 76.0±3.4% of cases to establish a Author α σ ρ Ѡ ¥: Jaroslav-the- Wise Novgorod State University, regional clinical Oncology center
Summary
Aim 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 Assessment and the role of the VDT and the search of ways of increase of efficiency of diagnostics and surgical procedures in complex therapy of vulvar dystrophies and vulvar cancer. "Harmonics", angiohemoembolization, reconstructive plastic surgery of the abdominal skin and lower segments of the rectus muscles.
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