Advertisement
Research Article| Volume 40, ISSUE 5, P485-487, September 1987

Use of an abdominal rotation flap for inguinal lymph node dissection

      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      In order to reduce the incidence of skin edge necrosis following dissection of the inguinal lymph nodes, an abdominal rotation flap has been used to help with closure. This allows excision of the most vulnerable skin, and closure without tension. Our experience in 13 groin dissections is presented, with skin edge necrosis in one patient (7.6%). This is compared with previously reported series and the reasons for the precarious blood supply to the skin following groin dissection are discussed.

      Reference

        • Baronofsky I.D.
        Technique of inguinal node dissection.
        Surgery. 1948; 24: 555
        • Basset A.
        Traitement chirurgical operatoire de l'epithelioma primitif du clitoris.
        Revue de Chirurgie. 1912; 46: 546
        • Byron R.L.
        • Lamb E.J.
        • Yonemoto R.H.
        • Kase S.
        Radical inguinal node dissection in the treatment of cancer.
        Surgery, Gynecology and Obstetrics. 1962; 114: 401
        • Fortner J.G.
        • Boher R.J.
        • Pack G.T.
        Results of groin dissection for malignant melanoma in 220 patients.
        Surgery. 1964; 55: 485
        • Lee E.S.
        Ilio-inguinal block dissection with primary healing.
        Lancet. 1955; II: 520
        • Nakajima H.
        • Maruyama Y.
        • Koda E.
        The definition of vascular skin territories with prostaglandin E1—the anterior chest, abdomen and thigh-inguinal region.
        British Journal of Plastic Surgery. 1981; 34: 258
        • Pack G.T.
        • Reckers P.
        The management of malignant tumours in the groin. A report of 122 groin dissections.
        American Journal of Surgery. 1942; 38: 321
        • Vordermark J.S.
        • Jones B.M.
        • Harrison D.H.
        Surgical approaches to block dissection of the inguinal lymph nodes.
        British Journal of Plastic Surgery. 1985; 38: 321
        • Whitmore W.F.
        • Vagawala M.R.
        A technique of ilioinguinal dissection for carcinoma of the penis.
        Surgery, Gynecology and Obstetrics. 1984; 159: 573