Clinical observation of groin incision healing after inguinal lymphadenectomy of vulvar cancer

WU Qiang; LI Rong; ZHAO Yibing; DAI Zhiqin; SHAO Henghua; SUN Zhihua; QU Junwei; SHEN Yang; FANG Yichen; LI Juan

Abstract：Objective To explore the feasibility of malignant inguinal lymphadenectomy improving surgical incision under the suture and laparoscopic inguinal lymph node dissection of the vulva cancer. Methods A retrospective analysis on groin incision healing time, healing rate of stageⅠand delayed healing rate were made among the following three groups:improved suture skill group, traditional suture skill group and endoscopic inguinal lymphadenectomy group. Results The average healing time of a groin incision in traditional group of 16 patients was (28?0±19?2)d, including 6 cases with healing at stageⅠ;and the average healing time of 9 pa?tients in improved group was (14?2±6?2)d and 8 cases healed at stageⅠ. The healing rate at stageⅠin laparoscopic group of 16 cases was 93?8% ( 1 patient with diabetes delayed healing) . The average healing time in traditional group was significantly longer than those in the other two groups(P<0?05).The delay healing rate of traditional group was 62?5%, significantly higher than 11?1%, 6?2% of improved group and laparoscopic group(P<0?05), but there was no significant difference between improved group and laparoscopic group in the delay healing rate( P>0?05) . Conclusion The improved suture methods and laparoscopic inguinal lymphadenectomy sur?gical methods are better than the traditional suture method on skin incision healing of the groin area,which is worth of popularizing and applying.