AFJOG

ORIGINAL RESEARCH African Journal of Obstetrics and Gynaecology | Volume 2 | Issue 1 | 2024 | Complications following Surgical Management of Vulvar Cancer in a South African teaching hospital « ¢ ª ¥« ¡ ¥ ¢ ¥ ¨ ¥« ¹ ¥ « ¢ ¢ ¢ ¥ ¹ ¢ ¥ ³ ª ¥ ® ¥ ¹ § ¥ ¡³ ¡ ¹ ¡ ¥ ¥¥ ¥ § § ¥¥ ¥ ¥ ¬ ¢ ¡ ± ¢ ¢ ¡ ¢ ¥ ¡ ¢ ¹ ¢ ¥ Table 1 Clinical presentation of the women included in the study Presentation n % Lesion/lump 55 55.00 Ulcer 18 18.00 Pain 17 17.00 Pruritus 8 8.00 Other (Warts, Incidental finding) 7 7.00 Bleeding 6 6.00 Table 2 The histological subtypes found in the women included in the study Histological Subtype n % Squamous cell carcinoma 75 96.15 Small cell neuroendocrine carcinoma 1 1.28 Invasive malignant melanoma 1 1.28 Adenosquamous carcinoma 1 1.28 Table 3 Surgico-histopathological stages of the women Stage n % I A 6 7.69 I B 30 38.46 II 1 1.28 III A 9 11.54 III B 9 11.54 III C 10 12.82 IV A 2 2.56 IV B 11 14.10 Total 78 100 Table 4 Complication of vulvectomy and groin surgery Complication and site n % Mean/median day diagnosed (SD) Vulva Sepsis 19 24.40 13.21(SD±7.16) Dehiscence 18 23.10 13.56(SD±5,48) Haemorrhage 1 1.30 1(nan) Groin Sepsis 12 15.40 17.00(IQR 13.50 – 25.00) Dehiscence 8 10.30 18.50(IQR 16.75 – 44.00) Haematoma 2 2.60 9.50(IQR 6.75 – 12.25) Lymphocyst 15 19.50 21.00(IQR 10.50 – 26.00) Other DVT 3 3.80 189.67(SD±159.30) African Journal of Obstetrics and Gynaecology | Volume 2 | Issue 1 | 2024 | 27