Figure 37-7

Figure 37.7. Radical vulvectomy with bilateral inguinal lymphadenectomy. The lines of excision of vulvar and inguinal skin are shown by the heavy outline. The inner incision allows an adequate surgical margin and usually is made at the introitus. With the resection, the mons, clitoris, and labia are entirely excised to the depth of the pelvic floor fascia and pubic symphysis. (Reprinted with permission from Clarke-Pearson D, Dawood Y. Green's Gynecology, 4th Ed. Little, Brown, Boston, 1990.)