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Inguinal Node Dissection
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==== Key aspects of the procedure (5): ==== # '''<span style="color:#ff0000">Shorter skin incision</span>''' # '''<span style="color:#ff0000">Limiting dissection by excluding the areas (2)</span>''' ##'''<span style="color:#ff0000">Lateral to the femoral artery[https://link.springer.com/content/pdf/10.1007/978-1-62703-367-1.pdf]</span>''' ##* Lateral limit of dissection is femoral artery modified dissection, compared to sartorius muscle in standard inguinal lymphadenectomy ##'''<span style="color:#ff0000">Caudal to the fossa ovalis[https://pubmed.ncbi.nlm.nih.gov/30730389/]</span>''' ###Also known as the saphenous opening[https://en.wikipedia.org/wiki/Saphenous_opening] ###An oval opening in the upper mid part of the fascia lata of the thigh ###Allow the passage of the great saphenous vein ###Lies 3β4 cm below and lateral to the pubic tubercle and is about 3 cm long and 1.5 cm wide. # '''<span style="color:#ff0000">Preservation of the saphenous vein[https://pubmed.ncbi.nlm.nih.gov/30730389/]</span>''' and lateral accessory saphenous vein[https://www.youtube.com/watch?v=5HdhCDdDnP0] ##Superficial epigastric and superficial circumflex veins are ligated at the superior boundaries of dissection[https://www.youtube.com/watch?v=5HdhCDdDnP0] ##Superficial epigastric, superficial circumflex veins, external pudendal veins are ligated at the superior boundaries of dissection[https://www.youtube.com/watch?v=5HdhCDdDnP0] # '''<span style="color:#ff0000">Elimination of the need to transpose the sartorius muscle[https://pubmed.ncbi.nlm.nih.gov/30730389/]</span>''' # '''<span style="color:#ff0000">Thicker skin flaps</span>'''
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