Introduction: The aim of this study was to report the indications and evaluate the results of vulvectomy in the general surgery department of Ignace Deen Hospital, CHU Conakry. Materials and Methods: This was a retrospective descriptive study, conducted over a period of five (05) years from January 1, 2018 to December 31, 2022, in the general surgery department of Ignace Deen Hospital, CHU Conakry. We included in our study all patient records in whom vulvectomy was performed. Results: We recorded 15 cases of vulvectomy out of 453 perineal surgeries, i.e. 3.31%, with a mean age of 43.56 years and extremes of 35 and 69 years. Vulvar cancer was the most common diagnosis (46.67%), followed by Buschke-Lowenstein (33.33%) and anal canal cancer extending to the vulva (20%). Six patients had undergone biopsy (40%). Vulvectomy with lymph node dissection was performed in only 9 patients (60%), and all surgical specimens were sent to anatomical pathology (100%). Conclusion: Vulvectomy is a surgical technique most often indicated for the treatment of vulvar cancer.
References
[1]
Sanguin, S., Daraï, E., Brzakowski, M., Gondry, J. and Fauvet, R. (2012) Cancer de la vulve: enquête de pratique de la prise en charge chirurgicale en France. Fautil se diriger vers des centres de références? Journal de Gynécologie Obstétrique et Biologie de la Reproduction, 41, 363-369. https://doi.org/10.1016/j.jgyn.2012.03.003
[2]
Mukeya, G.K., Kakoka, I.M., Mwansa, J.C. and Kalau ,W.A. (2020) Mélanome malin vulvaire, à propos d’un cas observé à l’Hôpital du Cinquantenaire de Lubumbashi. Pan African Medical Journal, 36, 1-7. https://doi.org/10.11604/pamj.2020.36.124.19138
[3]
Maria, S., Hersant, B., Belghiti, J., Azaïs, H., Gonthier, C., Nikpayam, M., et al. (2019) Comment je fais un lambeau d’avancement en V-Y après une vulvectomie totale. Gynécologie Obstétrique Fertilité & Sénologie, 47, 757-760. https://doi.org/10.1016/j.gofs.2019.08.003
[4]
Canlorbe, G., Rouzier, R., Bendifallah, S. and Chereau, E. (2012) Impact sur la survie de la procedure du ganglion sentinelle dans le cancer de la vulve, analyse de la SEER database. Gynécologie Obstétrique & Fertilité, 40, 647-651. https://doi.org/10.1016/j.gyobfe.2012.07.014
[5]
Trone, J.C., Guy, J.B., Mery, B., Langrand Escure, J., Lahmar, R., Moncharmont, C., et al. (2014) Mélanomes du tractus génital féminin, état des lieux. Bull Cancer, 101, 102-106. https://doi.org/10.1684/bdc.2013.1881
[6]
Zaidi, H., Mouhajir, N., El Mejjaoui, S., El Kacemi, H., Hassouni, K. and Kebdani, T. (2013) Cancers primitifs invasifs de la vulve, expérience de l’Institut National d’Oncologie de Raba. Pan African Medical Journal, 15, 1-5. https://doi.org/10.11604/pamj.2013.15.146.2890
[7]
Leblanc, E., Samouelian, V., Boulanger, L., Collinet, P. and Narducci, F. (2010) Traitement chirurgical des néoplasies intraépithéliales vulvaires. Techniques Chirurgicales –Gynécologie, 41, 1-6. https://doi.org/10.1016/S1624-5857(11)73050-2
[8]
Dahbi, Z., Elmejjatti1, F., Naciri1, F., Guerouaz, A., Oabdelmoumen, A. and Sbai, A. (2018) Les traitements du cancer de la vulve, expérience du Centre d’Oncologie d’Oujda. Pan African Medical Journal, 31, 1-6. https://doi.org/10.11604/pamj.2018.31.182.13812
[9]
Dubuisson, J., Golfier, F., Bouillot, A. and Raudrant, D. (2008) Reconstruction vulvopérinéale après vulvectomie radicale élargie, à propos de deux techniques de lambeau. Gynécologie Obstétrique & Fertilité, 36, 325-329. https://doi.org/10.1016/j.gyobfe.2008.01.003
[10]
Canlorbe, G., Rouzier, R., Bendifallah, S. and Chéreau, E. (2012) Impact sur la survie de la procedure du ganglion sentinelle dans le cancer de la vulve, analyse de la SEER database. Gynécologie Obstétrique & Fertilité, 40, 647-651.
