Ultrasonic surgical aspiration in the treatment of vulvar disease

Rader, Janet S.; Leake, J.; Dillon, M J; Rosenshein, Neil B.

doi:10.1016/0090-8258(91)90122-l

Cited by 5 publications

(8 citation statements)

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“…A large number of treatment modalities have been advocated for VIN. These include vulvectomy 14 , skinning vulvectomy 15 , wide local excision 16 , topical 5‐fluorouracil 17 or α‐interferon 18 di‐nitro chlorobenzene 19 , cryosurgery 16 , vaporisation of epithelium with the carbon dioxide laser 20–22 , diathermy loop excision 23 and recently ultrasonic aspiration 24 .…”

Section: Discussionmentioning

confidence: 99%

Vulvar intraepithelial neoplasia: long term follow up of treated and untreated women

Herod

Shafi

Rollason

et al. 1996

BJOG

106

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Objective To investigate the long term outcome of patients with vulvar intraepithelial neoplasia. Design A retrospective study using information obtained from patient casenotes. Sample One hundred and thirty‐three women with a primary diagnosis of vulvar intraepithelial neoplasia (VIN), identified during a 15‐year period. Results The diagnosis of vulvar intraepithelial neoplasia increased throughout the study period. Human papilloma virus changes were noted in 104 patients (78%); these women were significantly younger than those without (P≤ 0.001). Nineteen (14%) were managed by observation or medical treatment and the remainder by surgical methods. Histological or symptomatic recurrence after surgical treatment occurred in 55 (48%). When disease recurred, it usually did so within four years of treatment. Recurrence was more common following laser vapourisation than after local excision (75%vs 40%; P≤ 001). Progression to invasive disease occurred in nine patients (7%), none of whom were in the group being observed. Four deaths occurred in this group, three from gynaecological malignancies of the lower genital tract. Conclusions Patients with vulvar intraepithelial neoplasia require long term follow up, and the risk of invasion may be higher than previously thought. Surgical treatment when required should be by excisional rather than ablative methods in most instances. In selected cases it is also possible to safely manage patients by more conservative methods.

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Section: Discussionmentioning

confidence: 99%

Vulvar intraepithelial neoplasia: long term follow up of treated and untreated women

Herod

Shafi

Rollason

et al. 1996

BJOG

106

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“…The ultrasonic surgical dissector aspirator was originally developed for neurosurgical procedures 5 and hepatic resections 6 . Recently the indications for its use have broadened to include lung resection, 8 vulvar papillomatous disease, 9 and nasal polypectomy 7 . With the introduction of a tabletop model, its applications in otolaryngology have increased.…”

Section: Discussionmentioning

confidence: 99%

“…Until recently the application of ultrasonic surgery was limited to neurosurgery 5 or hepatic surgery 6 . The development of a tabletop model has made this technology available in many other fields of surgery 7–9 . The tissue selectivity of ultrasonic dissection allows selective isolation of nerves, vessels, and ducts.…”

mentioning

confidence: 99%

Carotid Body Tumor Resection with the Surgical Ultrasonic Dissector Aspirator

Wax

Briant²

1996

Otolaryngol.--head neck surg.

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“…33 Ultrasonic aspiration: The Cavitron ultrasonic aspirator (CUSA) technique utilizes ultrasound to fragment and aspirate warty tissue. 66 This allows removal of epithelium without damage to underlying tissue.…”

Section: Recommendationsmentioning

confidence: 99%

Anogenital siğiller: İnsan papilloma virüsü, klinik bulguları ve tedavi stratejileri üzerine bir güncelleme

Kılıç¹,

Ural

2019

Mucosa

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Anogenital warts is a major health problem caused by human papilloma virus (HPV). To date, more than 200 subtypes of HPV exist. Depending on the type of HPV and the immune status of the patient, various clinical forms may appear. The most detected types are HPV-6 and 11 which are responsible for approximately 90% of anogenital warts. High oncogenic strains HPV types 16 and 18 are responsible not only for cervical cancer, but also other cancers such as vagina, vulva, penile, anus, head and neck. Besides, anogenital warts impact the individual's quality of life leading significant psychosocial problems. Treatment options for anogenital warts include cytodestructive, immune-mediated and surgical therapies. Treatment choice depends on the location, number, and size of the warts; patient situation (eg. pregnancy, ability to comply with therapy, immunosuppression); availability of clinical expertise; and patient preferences, cost, and convenience. This article updates the epidemiological, etiological, clinical features and therapeutic choices in anogenital warts. Anogenital siğiller: İnsan papilloma virüsü, klinik bulguları ve tedavi stratejileri üzerine bir güncelleme Özet Anogenital siğiller insan papilloma virüsünün (HPV) neden olduğu önemli bir sağlık sorunudur. Bugüne kadar, 200'den fazla HPV alt tipi saptanmıştır. HPV tipine ve hastanın bağışıklık durumuna bağlı olarak, anogenital siğillerde çeşitli klinik formlar gözlenebilir. En çok tespit edilen tipler HPV-6 ve HPV 11 olup anogenital siğillerin yakla-şık% 90'ından sorumludur. Yüksek onkojenik suşlar HPV tip 16 ve 18 sadece servikal kanserden değil, vajina, vulva, penis, anüs, baş ve boyun gibi diğer kanserlerden de sorumludur. Ayrıca, anogenital siğiller, bireyin yaşam kalitesini etkileyerek önemli psikososyal sorunlara neden olur. Anogenital siğiller için tedavi seçenekleri arasında destrüktif, immün modülatör ve cerrahi tedaviler bulunmaktadır. Tedavi seçimi siğillerin yeri, sayısı ve büyüklüğüne; hastanın durumuna (örneğin, hamilelik, tedaviye uyma yeteneği, immün baskılama); klinisyenin tecrübesine; ve hastanın tercihleri ve rahatlığına bağlıdır. Bu makale anogenital siğillerdeki epidemiyolojik, etiyolojik, klinik özellikleri ve tedavi seçeneklerini güncellemektedir. Anahtar kelimeler: anogenital siğiller, insan papilloma virüsü, tedavi

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Ultrasonic surgical aspiration in the treatment of vulvar disease

Cited by 5 publications

References 0 publications

Vulvar intraepithelial neoplasia: long term follow up of treated and untreated women

Vulvar intraepithelial neoplasia: long term follow up of treated and untreated women

Carotid Body Tumor Resection with the Surgical Ultrasonic Dissector Aspirator

Anogenital siğiller: İnsan papilloma virüsü, klinik bulguları ve tedavi stratejileri üzerine bir güncelleme

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