Editing Inguinal Node Dissection (section)

==== Incision ====

* '''Oblique incision ≈2-3 cm below and parallel to the inguinal ligament (groin crease)[https://pubmed.ncbi.nlm.nih.gov/21481617/]'''
**'''Lateral end'''
***'''Radical inguinal lymphadenectomy: line drawn from the anterior superior iliac spine extending inferiorly'''
***'''Modified inguinal lymphadenectomy: vertical line drawn from above the femoral artery'''
**'''Medial end'''
***'''Radical or modified inguinal lymphadenectomy: line drawn from the pubic tubercle extending inferiorly'''
*Special scenario: When the overlying skin is involved with disease secondary to direct tumor invasion or broken down by infection or prior therapy and requires excision, consider an elliptical incision with resection of the involved skin and the subcutaneous tissue[https://pubmed.ncbi.nlm.nih.gov/27717432/]
**In this setting, the incision may alternatively be extended superiorly from the lateral border of the ellipse and inferiorly from the medial border to make a single S-shaped incision for the iliac and inguinofemoral dissections