ABSTRACT

In this chapter, the anatomical and surgical techniques of radical vulvectomy, skinning vulvectomy, inguinofemoral lymphadenectomy, and sentinel node biopsy will be demonstrated.

Figure 3.1. Radical vulvectomy incision. The radical vulvectomy incisions are placed according to the location and size of the primary tumor. The surgeon should attempt to obtain a 2-cm margin of normal tissue around the tumor in all directions. However, a 1-cm margin is reasonable around the urethral meatus, clitoris, and anus: in these areas, this is necessary to preserve the structures and their function.