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[Skin incisions in inguinal lymph-node excision].

H Tritsch

    Der Hautarzt; Zeitschrift Fur Dermatologie, Venerologie, Und Verwandte Gebiete
    |October 1, 1978
    PubMed
    Summary
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    A novel S-shaped skin excision technique reduces postoperative wound complications following inguinal lymph node dissection by preserving vascularity. This method enhances healing and offers options for combined tumor removal and flap reconstruction.

    Area of Science:

    • Surgical Oncology
    • Wound Healing
    • Plastic Surgery

    Context:

    • Inguinal lymph node dissection (ILND) frequently leads to postoperative wound complications.
    • Impaired wound healing, often distal to Poupart's ligament, is primarily linked to vascular architecture disruption during dissection.

    Purpose:

    • To introduce and evaluate a modified skin excision technique for ILND aimed at minimizing wound complications.
    • To present a wide, spindle-S-shaped skin excision strategy designed to preserve flap vascularity and facilitate lymph node removal.

    Summary:

    • The proposed technique involves an oblique, subinguinal, wide spindle-S-shaped skin excision extending to the anterior superior iliac spine and thigh.
    • This approach minimizes devascularization of skin flaps, ensuring undisturbed healing.

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  • The incision lines provide access to the inguinal lymphatic basin and enable en bloc removal of tumors, lymphatics, and nodes.

    • Impact:

    • The technique significantly reduces the incidence of wound complications after ILND.
    • It offers the dual benefit of facilitating oncologic resection and providing skin for potential free flap reconstruction.
    • This method demonstrates improved outcomes in ten reported cases, enhancing patient recovery and surgical versatility.