Contemporary Surgical Management of Vulvar Cancer: Balancing Improved Survival with Increased Reoperation Rates — Insights from a Finnish Nationwide Study

Personalized surgical management in vulvar squamous cell carcinoma (VSCC) improves overall and disease-specific survival compared to radical surgery.
Implementation of sentinel lymph node biopsy and reconstructive techniques has refined surgical approaches in the 21st century.
Increased postoperative complications and reoperation rates are associated with contemporary personalized surgeries, possibly due to surgical complexity and proactive complication management.
Timely adjuvant treatment post-surgery is preserved despite higher surgical morbidity in the personalized surgery era.