Mert I, et al. - Using the National Surgical Quality Improvement Program database, researchers studied women who underwent vulvar procedures (VP) for dysplasia or carcinoma, to determine rates of surgical site infection (SSI) in these subjects so that correct categorization of wound classification can be achieved. A high risk of infection was reported in patients undergoing VP. A corresponding rise in the rate of SSI with wound type was seen in patients undergoing total abdominal hysterectomy (type I: 3.4%; type II: 3.8%, type III: 6.8%; type IV 10.6%), whereas no such correlation was evident for simple VP (type I: 3.3%, type II: 3.0%; type III: 3.2%; type IV: 0%). They recommended classifying simple vulvectomy as a type II wound and radical vulvectomy as a type III wound. For proper risk adjustment, these recommendations are essential.