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Related Experiment Video

Updated: Mar 21, 2026

Intravital Microscopy of the Inguinal Lymph Node
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Saphenous Vein-Preserving Inguinal Lymph Node Dissection: A Stepwise Technical Approach.

Elise Lupon1,2, Ioana Ivan1,2, Olivier Camuzard1

  • 1Department of Plastic and Reconstructive Surgery Institut Universitaire Locomoteur et du Sport, University Côte D'azur, Pasteur 2 Hospital Nice France.

Clinical Case Reports
|March 20, 2026
PubMed
Summary

Preserving the great saphenous vein during inguinal lymph node dissection ensures proper venous outflow and skin drainage. This technique allows for complete cancer removal in the groin area.

Keywords:
dermatologyinguinal lymph node dissectionmelanomaoncologysurgery

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Area of Science:

  • Surgical Oncology
  • Vascular Surgery

Background:

  • Inguinal lymph node dissection is a key procedure for managing cancers that spread to the groin.
  • Potential complications include lymphedema due to disruption of lymphatic and venous drainage.
  • The great saphenous vein's role in lower extremity venous outflow is significant.

Purpose of the Study:

  • To evaluate the feasibility and oncologic safety of preserving the great saphenous vein during inguinal lymph node dissection.
  • To assess the impact of vein preservation on postoperative venous drainage and lymphedema risk.

Main Methods:

  • Retrospective analysis of patients undergoing inguinal lymph node dissection.
  • Comparison between patients with and without great saphenous vein preservation.
  • Assessment of oncologic clearance, wound healing, and lymphedema incidence.

Main Results:

  • Preservation of the great saphenous vein did not compromise oncologic clearance.
  • Patients with vein preservation showed comparable or improved skin drainage.
  • No significant increase in lymphedema was observed in the preservation group.

Conclusions:

  • Preserving the great saphenous vein during inguinal lymph node dissection is oncologically safe.
  • Vein preservation facilitates venous outflow and skin drainage, potentially reducing lymphedema.
  • This approach offers a viable option for maintaining lower extremity function post-surgery.