Continuous Muco-Subcutaneous Technique for Repairing of Vulvar Surgeries

Abstract

Background and objective: Continuous muco-subcutaneous wound closer technique(CMST)  has been used for repairing of vulvar surgeries in precancerous lesion of vulva and vulvar cancer patients in Ubonratchathani Cancer Hospital, Ubonratchathani province for a long time. However, there was no systematic review in the outcomes and its complications of this technique. The aim of this study was to evaluate the outcomes and complications of this method.

Methods: Retrospective review of medical records of 25 patients who had CMST for repairing of vulvar surgeries in precancerous lesion of vulva and vulvar cancer in Ubonratchathani Cancer Hospital from January 2007 to December 2011.

Results: The average operative time of radical vulvectomy was 124.9 + 24 min (range 90-170 min), while the other radical vulvar operative procedures was 65.0 + 14.6 min (range 45-90 min). The estimated blood loss of radical vulvectomy was 227.7 +132 ml (range 100-600 ml), while the other radical vulvar operative procedures was 212.1 + 145 ml. (range 100-500 ml.). The incidence of wound disruption was only 8%.

Conclusion: This study showed low incidence of wound disruption from CMST. The CMST could be an alternative option for repairing of vulvar surgeries.

Keywords: Vulvar, Cancer, Surgery