The procedure of choice is vulvectomy with simple reconstruction or skin flap. Inguinal lymph node dissection is performed in case of affected lymph nodes (this may modify the stage, the prognosis and any further treatment).
Over the last few years, the sentinel node technique has been gaining ground. The aim is to avoid radical inguinal lymph node dissection in case rapid biopsy of the sentinel node is negative.
Women of reproductive age that may develop gynecologic cancers... also have to cope with the prospect of not being able to bear children.
Laparotomy is still considered a reliable and trustworthy procedure for a trained surgeon to perform whenever deemed clinically necessary.
We have been using the DaVinci® robotic system since 2002 at Stanford University Hospital, California, long before the it became known in Europe.