Groin Surgery: Approach to Inguinal Lymph nodes
Urologic Indications
Removal of the inguinal lymph nodes in:- Penile cancer
- Cancer of the distal urethra
Preoperative Patient Preparation
- Patient positioning: supine position with slight abduction of the hip and flexion of the knee
- General or spinal anesthesia
- Perioperative antibiotic prophylaxis
Surgical Technique: Inguinal Approach
- Skin incision 3 cm below and parallel to the inguinal ligament, see fig. groin surgery
- Straight dissection of the subcutaneous tissue through the fascia of scarpa to the fascia lata. The skin should be dissected together with the subcutaneous tissue to preserve the supplying vessels.
- Identification and isolation of the great saphenous vein and superficial veins near the fossa ovalis (superficial epigastric, superficial iliac circumflex, and superficial external pudendal veins).
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Groin incision to approach the inguinal lymph nodes: skin incision 3 cm below and parallel to the inguinal ligament | .
| Inguinal incision | Index | Circumsising incision |
Index: 1–9 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
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Deutsche Version: Operativer Zugang zu den inguinalen Lymphknoten
Last update
Dr. med. Dirk Manski
man...@urologielehrbuch.de