The combined intraoperative injection technique with radioisotope and blue dye is fast enough to identify the ovarian sentinel node(s). The stained nodes were consistently located on a certain lymphatic area. The sentinel node concept for the early ovarian cancer deserves more attention.
In patients with ovarian tumor(s), the detection of sentinel nodes is feasible. They are located in different anatomic areas both ipsilaterally and contralaterally, although most of them are found in the para-aortic region. The reliability of the sentinel node concept should be evaluated in the framework of a multicenter trial.
Backround and Aims: soft-tissue reconstruction of the vulva following resection of malignancies is challenging. the function of perineal organs should be preserved and the reconstructed area should maintain an acceptable cosmetic appearance. Reconstruction with local flaps is usually sufficient in the primary phase after a radical vulvectomy. numerous flaps have been designed for vulvar reconstruction usually based on circulation from the internal pudendal artery branches.in this paper we introduce our modification of the gluteal fold v-Y advancement flap as a primary reconstruction after a radical vulvectomy.Patients and Methods: twenty-two patients were operated with a radical vulvectomy because of vulvar malignancies. the operation was primary in eight and secondary in 14 patients. the reconstruction of the vulva was performed in the same operation for each patient Results: all flaps survived completely. wound complications were registered in three patients. late problems with urinary stream were corrected in two patients. a local recurrence of the malignancy was observed in six patients during the follow-up period.Conclusions: gluteal fold flap is easy to perform, has a low rate of complications and gives good functional results.even a large defect can be reconstructed reliably with this method. a gluteal fold v-Y advancement flap is sensate and our modification allows the flap to be transposed with lesser dissection as presented before.
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