The subject of this report is a surgical method,
CO2 laser, for the treatment of non-invasive
vulvar diseases. The combination
therapy consists of skinning resection of the vulva of the central lesions and skin destruction by
laser evaporation of the peripheral lesions. Over a period of five years 23 patients were treated with skinning
laser resection of the vulva. Primary closure of the
wound was performed in all cases. In three of the patients--two with the diagnosis of
lichen sclerosus and one with
Bowen's disease--who were first treated with total skinning
vulvectomy, the histopathological examination revealed invasive
cancer. They were treated again with total radical
vulvectomy. In all cases less than 200 ml blood was lost at the time of surgery. The average duration of the operations was 25 minutes. The central section healed within eight to twelve days. All the patients with VIN were cured after the first radical treatment. The follow-up time is two to six years.