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Use of in situ spermatic cord patch for inguinal lymph node dissection
M J Szostak1, S C Jacobs, G N Sklar
1Department of Surgery, University of Maryland Medical Center, Baltimore 21201, USA.
Techniques in Urology
|March 29, 2001
Summary
Inguinal lymph node dissection for penile cancer can lead to complications. A novel technique using the spermatic cord successfully protected femoral vessels in two patients.
Area of Science:
- Urology
- Surgical Oncology
- Vascular Surgery
Background:
- Inguinal lymph node dissection (ILND) is crucial for staging penile cancer.
- ILND can result in significant morbidity, including wound complications and lymphedema.
- Protecting exposed femoral vessels post-ILND is essential to prevent vascular erosion.
Observation:
- Traditional methods for femoral vessel coverage, like sartorius muscle transposition, are common.
- This study presents a novel approach using the in situ spermatic cord.
- The spermatic cord was utilized to cover the femoral artery and vein in two patients.
Findings:
- Successful coverage of femoral vessels was achieved in both cases using the spermatic cord.
- This method preserved the integrity of the femoral artery and vein.
- No significant complications related to the spermatic cord coverage were reported.
Implications:
- The in situ spermatic cord offers a simple and effective alternative for femoral vessel coverage after ILND.
- This technique may reduce morbidity associated with traditional methods.
- Further investigation could establish the spermatic cord as a viable option in penile cancer surgery.