Polypropylene mesh implantation in combination with vacuum-assisted closure in the management of metastatic or locally recurrent vulvar cancer: case report and review of literature

International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society
Erik RiebeGünter Köhler

Abstract

Mesh reconstruction, especially in combination with vacuum-assisted closure, might improve healing and reduce the surgical morbidity of extensive inguinofemoral lymphadenectomy or extensive local resection in progressive cancer of the vulva. Radical vulvectomy combined with inguinofemoral lymphadenectomy was performed in 2 patients (P1, P2). The inguinofemoral wound bed was stabilized by polypropylene mesh implantation and sealed with vacuum closure system. In 1 patient with local recurrence of vulvar cancer (P3), local excision and stabilization of the wound were performed by mesh implantation. Mesh implantation fulfills 2 purposes: (1) it protects exposed vessels and the wound can be vacuum sealed; and (2) it stabilizes the surgical bed, permitting the required radical excision locally and inside the vascular compartment.

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Citations

Feb 17, 2017·Gynecologic Oncology·Alon D Altman, Christine Robinson
Jul 28, 2020·American Journal of Obstetrics and Gynecology·Alon D AltmanGregg Nelson
Nov 2, 2020·Gynécologie, Obstétrique, Fertilité & Sénologie·A Boyer de LatourH Azaïs

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