The procedure of choice is vulvectomy with simple reconstruction or skin flap. Inguinal lymph node dissection is performed in case of affected lymph nodes (this may modify the stage, the prognosis and any further treatment).
Over the last few years, the sentinel node technique has been gaining ground. The aim is to avoid radical inguinal lymph node dissection in case rapid biopsy of the sentinel node is negative.
We have been using the DaVinci® robotic system since 2002 at Stanford University Hospital, California, long before the it became known in Europe.
It is a medical diagnostic procedure to examine a magnified view of the cervix, the uterus, the external reproductive organs... using a special machine.
The first total laparoscopic radical hysterectomy, with complete lymph node dissection, was performed in Greece in 2004 by Dr. G. Hilaris and his team.