How to treat vulvar papilloma?

summary

Vulvar papilloma is actually tumor like hyperplasia. Most of them were single, occurred in any part of the vulva, mostly in the labia major and clitoris. The tumor was small, cauliflower like or verrucous, mostly asymptomatic. Local resection is recommended, but the range should be wider to avoid recurrence. The specimens were sent for pathological examination. Vulvar papilloma is a tumor of epithelial origin. Most of the lesions occurred in the labia major, but also in the scrotum, clitoris and anus around. Now share with you how to treat vulvar papilloma?.

How to treat vulvar papilloma?

First, surgical treatment: local resection is the main treatment, but the scope is slightly wide, 0.5-1cm outside the lesion. If the resection is not clean, it may recur after operation. Frozen section examination was performed during operation. If malignant transformation was confirmed, extensive vulvotomy should be performed.

Second: laser surgery: the treatment of papilloma is different from that of canceration. In patients without cancer, laser resection is easier and less injury; The treatment of cancer is more complicated. The main treatment was CO2 laser. Water circulation, exhaust steam. Power 15 ~ 20W, focus cutting. Local infiltration anesthesia (1% lidocaine). For pedunculated papilloma, the larger tumor was clamped with skin forceps, and CO2 laser was focused to cut along the base. For large papilloma with broad base, the laser blade was parallel to the vulvar skin, and the laser was cut along the base. Direct laser vaporization of small papilloma. Nd ∶ YAG cutting papilloma fiber can be cut parallel to the skin along the base, and can be inserted and cut in parallel (the common power is 20-30w). The fiber is protected by a special metal handle, which is easy to cut. Because the fiber is soft, it is easy to break when cutting. At the end of the operation: local red medicine or gentian violet. After the second day, the wound of vulva operation was cleaned every day until recovery.

Third: secretion smear examination, secretion smear for microbiological examination, cervical scraping, if necessary, for segmental curettage, exclude genital tract malignant tumor.

matters needing attention

After operation, a large number of multi cluster vitamins were used as adjuvant therapy for 2-3 weeks. General surgical site repair smooth, no scar, etc. Before and after laser treatment, the elderly women should pay attention to complications, such as diabetes, which is not conducive to healing after operation.