LÁSER DIODO COMO INSTRUMENTO DE CORTE VERSUS BISTURÍ EN PRESENCIA DE PÓLIPO FIBROEPITELIAL VULVAR: REPORTE DE DOS CASOS

Abstract

Benign tumors of epithelial connective tissue located in the vulvar region have a very low incidence; the most frequent of these is fibroepithelial polyp, also known as acrochordon. The vulvar fibroepithelial polyp is extremely rare before menarche and after menopause, predominantly in obese and diabetic women. Descontrol hormone may facilitate its development as well as the high level of estrogen and progestogen during pregnancy. There are no reports regarding their relationship with human papillomavirus infections. They are histologically composed of fibrovascular stroma rich in collagen and fibrous tissue which sometimes has a mild chronic inflammatory reaction in the stroma. It is covered with keratinizing epithelium that can be thick with acanthosis, papillomatosis and hyperkeratosis. With the objective of reporting the benefits of diode laser in the treatment of benign tumors of epithelial tissue in the vulvar area and at the same time; To document the presence of this pathology and its ambulatory surgical approach comparing the aesthetic results of the excision with scalpel and laser diode, two cases are presented to which of acrochordon cutting off were performed, comparing surgical time, scarring, blood loss and better aesthetic gynecological outcome. Patients were followed up for 8 months without complications or recurrences. A better adhesion to the diode laser therapy was obtained, demonstrated in a fast recovery, null blood loss, effective healing and very favorable immediate cosmetic gynecological results.

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