Figure 37-6

Figure 37.6. Modified radical vulvectomy with inguinal lymphadenectomy. Small unilateral (stage I) lesions may be adequately treated by a modified radical vulvectomy. Shown here are the lines of incision. The depth of the excision is carried down to the pelvic floor fascia and pubic ramus, as for a complete radical vulvectomy. The inguinal incisions shown allow inguinal lymphadenectomy through separate portals. (Reprinted with permission from Clarke-Pearson D, Dawood Y. Green's Gynecology, 4th Ed. Little, Brown, Boston, 1990.)