In patient s/p definitive chemoRT for vulvar cancer with complete response, how do you manage a non-healing vulvar defect if biopsy is negative for residual disease?

Hard and takes time.

Vitamin E with trental and quit smoking.

In addition to the previous answers:

If an open wound, consider getting these patients into a wound clinic for wet-to-dry dressings as appropriate (based on the size of the defect). Optimize medically (DM management in addition to smoking cessation).

If the defect is large enough or in a location s...