Table 2.
Patient | Type of treatment of vulvar cancer recurrence |
Hospital stay (days) | Details of surgery | Plastic reconstruction | Surgical margins after PE or ECT | Revisional surgery |
---|---|---|---|---|---|---|
1 | TPE | 21 | Removal of bladder with urethra, formation of urinary diversion
(an ileal conduit), hysterectomy with resection of the vagina
and perineum, Removal of rectosigmoid colon with formation of an end colostomy |
VRAM | Free of malignancy | No |
2 | TPE | 15 | Removal of bladder with urethra, Formation of urinary diversion (an ileal conduit), Resection of the vagina and perineum (hysterectomy in the past), Removal of rectosigmoid colon with formation of an end colostomy |
VRAM | Free of malignancy | No |
3 | PPE | 21 | Resection of distal urethra, perineum, Removal of rectosigmoid colon with formation of an end colostomy |
Primary suturing | Free of malignancy | For rectovaginal fistula |
4 | PPE | 22 | Resection of the vagina and perineum (hysterectomy in the
past), Removal of rectosigmoid colon with formation of an end colostomy |
VRAM | Free of malignancy | No |
5 | ECT | 4 | ESOPE | – | Free of malignancy | No |
Abbreviations: PE, pelvic exenteration; TPE, total pelvic exenteration; PPE, posterior pelvic exenteration; ECT, electrochemotherapy; VRAM, vertical rectus abdominis myocutaneous flap; ESOPE, European Standard Operating Procedures for Electrochemotherapy.