vulvectomy
defination
Vulvectomy refers to a gynecological procedure in which the vulva is partly or completely removed.
indications
vulvar intaepethelial neoplasia
as part of female genital multilation
vulvar displasia cancer
types of vulvectomy
Simple vulvectomy—removes multiple layers of skin and tissue
Partial vulvectomy—removes a part of the vulva, as well as some nearby tissue and lymph nodes
Skinning vulvectomy—removes the top layer of skin
post operative care
Radical vulvectomy—removes the entire vulva, including nearby tissue and lymph nodes
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Pain medications
Antibiotics to prevent infection
Medication to prevent blood clots
Getting out of bed and walking around
pre-operative care
patients should be evaluated with respect to their general overall health
Further evaluation should occur if a patient is unstable
ACE inhibitors should be held 24 hours before surgery owing to the risk of hypotension postinduction.
reassure the patient that the pain will be controlled
patients should stop herbal suppliments as well prior surgery
explain the planned surgical procedures and allow the discussion about this
involve the patient family and explain the surgical procedure to them in patients permission
the doctor must obtain a concern form from the patient before the operation
teach the patient about good personal hygiene practices
patient must be encouraged to verbalise her concerns in relation to her condition prior surgery
patient should be allowed to have restful sleep to allow for recovery
ensure that the catheter is draining as the bladder distention can also cause pain and dicomfort
monitor vitals signs in order to catch any complication early