Groin Surgery: Approach to Inguinal Lymph nodes
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).
Groin incision to approach the inguinal lymph nodes: skin incision 3 cm below and parallel to the inguinal ligament
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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