bandage-green

Vulvectomy

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Lithotomy, arms extended
Time : 2-4 hours (long)
Blood Loss : Very High (500+ ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Blocks : Pudendal, Ilioinguinal/Iliohypogastric
Considerations : Arterial line, High Blood Loss, Obesity, PONV, Anticoagulation / Antiplatelet Therapy, Prolonged Lithotomy / Well-Leg Compartment

Anesthetic Approaches

1GETT, Epidural
2GETT, Nerve Block
3CSE
The Surgery

Choosing the operation - the extent is set by tumor size, depth of invasion, and whether the lesion crosses the midline. A simple or partial vulvectomy takes the affected skin and subcutaneous tissue...

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