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Introduction/Background Radical hysterectomy for cervical cancer may be performed using a minimally invasive approach or and open, abdominal surgical approach. A growing body of evidence provides conflicting evidence regarding survival outcomes between these two surgical approaches. This study contributes a retrospective review of 10 years of data from the South East Wales Gynaecology Oncology Centre. Methodology A retrospective review of all cases of radical hysterectomy (open and laparoscopic) carried out between January 2008 and December 2018. Data collected included patient age, BMI, performance status, surgical approach, pre and post op cancer stage, tumour size, length of stay in hospital, complications, recurrence rates and disease free survival. Data were analysed using SPSS software, statistical significance was set at P≤0.05. Results Two hundred and twenty-nine cases of radical hysterectomy were identified. One hundred and forty-one open, abdominal procedures and 88 minimally invasive procedures were carried out. Patient demographics and cancer stage were comparable between the two groups. Mean duration of follow up was 64 months. Nine out of 141 (6.4%) laparotomy cases developed a recurrence and 5/88 (5.7%) patients having had a laparoscopic procedure developed a recurrence. Conclusion This retrospective review demonstrates no significant difference in recurrence rates between patients having undergone open, abdominal radical hysterectomy compared to minimally invasive hysterectomy in our centre. Disclosure Nothing to disclose.

Introduction/Background Inguino-femoral lymph node dissection plays a crucial role in the management of vulval cancer. The procedure is associated with high complication rates including infection, lymphocysts and wound dehiscence. Several skin incision techniques exist and practice amongst gynaecology oncologists is variable. Little evidence exists to guide surgeons regarding optimal surgical approach. This study aimed to determine the difference in complication rates, node harvest and length of stay between patients undergoing the modified oblique and classical 9lazy S9 skin incision. Methodology A retrospective review of 4 years of data between 2014 and 2018 was carried out in the UHW, Cardiff. Data collected included age, BMI, incision, length of stay, complications, cancer stage, suture material, node count and recurrence of disease. Data were analysed using SPSS software and clinical significant was set as p≤0.05. Results Thirty-five cases of classical 9lazy S9 and 14 cases of modified oblique. More serious, grade 3/4 complications were significantly more common following classical 9Lazy S9 versus modified oblique (20/35, 57.1% vs. 2/14, 14.3%). Mean number of nodes harvested was significantly higher in the classical 9Lazy S9 group compared to the modified oblique (11.1 vs. 7 nodes). Mean hospital stay was significantly higher in patients undergoing classical 9Lazy S9 vs. Modified oblique (10.7 vs. 4.5 days). One case of groin node recurrence occurred and this patient was in the classical 9lazy S9 arm. Conclusion This study demonstrates significantly lower rates of overall and serious complications following modified oblique skin incision compared to classical 9Lazy S9. However, this would appear to be at the compromise of a reduced node count. This study was not designed to determine the clinical significance of node count and recurrence but this is also a subject upon which the literature is scarce. More research is required to determine optimal surgical incision in this challenging procedure. Disclosure Nothing to disclose