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Surgical resection of vulva lymphoedema circumscriptum.
J Plast Reconstr Aesthet Surg. 2010 Nov; 63(11):1883-5.JP

Abstract

BACKGROUND

Lymphangioma circumscriptum, a rare, benign disease that can be either congenital or acquired, involves the deep dermis and subcutaneous lymphatics.

OBJECTIVE

This study aims to analyse the efficacy of surgical resection of vulva lymphangioma circumscriptum (VLC).

MATERIALS AND METHODS

Between January 2000 and December 2008, eight consecutive women referred to our centre and treated surgically for VLC were included in the study. VLC was responsible for recurrent lymph oozing in seven cases. All women were treated by the same plastic surgeon specialising in lymphatic diseases.

RESULTS

The first surgery was performed after a median interval of 5.4 years since VLC onset. The first cutaneous resection included the labia majora of all women and labia minora of five and clitoral hood of four. Five women experienced rapidly recurrent vesicles associated with lymph oozing and underwent resection again (once: two women, twice: three women). The second resection was performed 4-6 months after the first, whereas the third took place 1-6 years after the second. Five women had moderate and transitory post-surgical lymph oozing. After a median follow-up of 53 months after the last surgery, seven of the eight women were free from symptom.

CONCLUSION

Surgical resection is an effective and well-tolerated therapy for VLC in most women. Lesion recurrence is frequent but resection can be repeated several times with no adverse effects.

Authors+Show Affiliations

Department of Lymphology, Hôpital Cognacq-Jay, 15, rue Eugène Millon, 75015 Paris, France. stephane.vignes@hopital-cognacq-jay.frNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

20004630

Citation

Vignes, Stéphane, et al. "Surgical Resection of Vulva Lymphoedema Circumscriptum." Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS, vol. 63, no. 11, 2010, pp. 1883-5.
Vignes S, Arrault M, Trévidic P. Surgical resection of vulva lymphoedema circumscriptum. J Plast Reconstr Aesthet Surg. 2010;63(11):1883-5.
Vignes, S., Arrault, M., & Trévidic, P. (2010). Surgical resection of vulva lymphoedema circumscriptum. Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS, 63(11), 1883-5. https://doi.org/10.1016/j.bjps.2009.11.019
Vignes S, Arrault M, Trévidic P. Surgical Resection of Vulva Lymphoedema Circumscriptum. J Plast Reconstr Aesthet Surg. 2010;63(11):1883-5. PubMed PMID: 20004630.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical resection of vulva lymphoedema circumscriptum. AU - Vignes,Stéphane, AU - Arrault,Maria, AU - Trévidic,Patrick, Y1 - 2009/12/09/ PY - 2009/05/13/received PY - 2009/11/06/revised PY - 2009/11/10/accepted PY - 2009/12/17/entrez PY - 2009/12/17/pubmed PY - 2010/11/5/medline SP - 1883 EP - 5 JF - Journal of plastic, reconstructive & aesthetic surgery : JPRAS JO - J Plast Reconstr Aesthet Surg VL - 63 IS - 11 N2 - BACKGROUND: Lymphangioma circumscriptum, a rare, benign disease that can be either congenital or acquired, involves the deep dermis and subcutaneous lymphatics. OBJECTIVE: This study aims to analyse the efficacy of surgical resection of vulva lymphangioma circumscriptum (VLC). MATERIALS AND METHODS: Between January 2000 and December 2008, eight consecutive women referred to our centre and treated surgically for VLC were included in the study. VLC was responsible for recurrent lymph oozing in seven cases. All women were treated by the same plastic surgeon specialising in lymphatic diseases. RESULTS: The first surgery was performed after a median interval of 5.4 years since VLC onset. The first cutaneous resection included the labia majora of all women and labia minora of five and clitoral hood of four. Five women experienced rapidly recurrent vesicles associated with lymph oozing and underwent resection again (once: two women, twice: three women). The second resection was performed 4-6 months after the first, whereas the third took place 1-6 years after the second. Five women had moderate and transitory post-surgical lymph oozing. After a median follow-up of 53 months after the last surgery, seven of the eight women were free from symptom. CONCLUSION: Surgical resection is an effective and well-tolerated therapy for VLC in most women. Lesion recurrence is frequent but resection can be repeated several times with no adverse effects. SN - 1878-0539 UR - https://www.unboundmedicine.com/medline/citation/20004630/Surgical_resection_of_vulva_lymphoedema_circumscriptum_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1748-6815(09)00794-3 DB - PRIME DP - Unbound Medicine ER -