SURGICAL MANAGEMENT OF INVASIVE-CARCINOMA OF THE VULVA UTILIZING A LOWER ABDOMINAL MIDLINE INCISION

An approach to radical vulvectomy and bilateral lymphadenectomy utilizing a lower abdominal midline incision is presented. Nineteen patients were operated on for invasive vulvar carcinoma utilizing this technique, while fifteen patients were operated on with the more traditional transverse incision for groin dissection. When evaluated by intraoperative and postoperative parameters, the two techniques gave roughly identical results. The midline approach can be particularly valuable in those situations where celiotomy is to be performed at the time of radical vulvectomy. © 1979.