BACKGROUND Print Section Listen Insights in the topology of locoregional tumor spread from developmental biology call for redefining the principles of cancer surgery.1 Surgical procedures translating these concepts into practice…
BACKGROUND Print Section Listen Most recurrent and locally advanced gynecologic malignancies carry a poor prognosis. Advances in multimodality management have improved local control and overall survival (OS).1,2,3 Historically, tumors invading…
BACKGROUND AND EVOLUTION Print Section Listen Exenteration was first reported by Brunchswig in 1948 as a palliative procedure, and, in his subsequent series of 561 patients collected from 1948 to…
INTRODUCTION Print Section Listen Iatrogenic harm to the urinary tract can be caused by any surgeon operating in or around the pelvis and the retroperitoneal abdominal space, with an overall…
BACKGROUND Print Section Listen Extirpative gynecologic cancer surgery may result in partial or full-thickness defects of the abdominal wall. Although minor defects can be repaired primarily, large or composite defects…
BACKGROUND Print Section Listen Reconstruction of the vulvovaginal and pelvic region can be a complex and formidable undertaking. Defects from oncologic resection can be extensive and variable. The increasing use…
BACKGROUND Print Section Listen The first step in understanding any surgery is achieving a clear overall picture of the patient. If the patient is healthy enough medically, nutritionally, and mentally…
BACKGROUND Print Section Listen The introduction of radical vulvar surgery and pelvic exenteration in 1950s allowed for the treatment of locally advanced or recurrent cancer with improved survival outcomes.1,2 Unfortunately,…
BACKGROUND Print Section Listen Radical vulvectomy has 2 major variations: en bloc radical vulvectomy and bilateral inguinal lymphadenectomy and the technique with separate vulvar and groin incisions. Historically, all cases…
BACKGROUND Print Section Listen The condition and appearance of a woman’s genitalia strike at the core of her identity. Many patients experience severe sexual dysfunction, disturbed body image, and deranged…
