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Inguinal Node Dissection
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==== Boundaries of Dissection[https://pubmed.ncbi.nlm.nih.gov/16643509/ §] ==== * '''<span style="color:#ff0000">Superior: inguinal ligament/superior boundary of the external oblique aponeurosis and the spermatic cord</span>''' **'''<span style="color:#ff0000">Inguinal ligament is the portion of the external oblique aponeurosis which extends between the anterior superior iliac spine and the pubic tubercle as a thick band, folded inward[https://en.wikipedia.org/wiki/Aponeurosis_of_the_abdominal_external_oblique_muscle]</span>''' * '''<span style="color:#ff0000">Medial: anterolateral border of adductor longus muscle</span>''' * '''<span style="color:#ff0000">Lateral: saphenous vein and femoral vein</span>[https://pubmed.ncbi.nlm.nih.gov/16643509/]''' * '''<span style="color:#ff0000">Inferior: fossa ovalis (where the saphenous penetrates the fascia lata to drain into the common femoral vein)[https://www.youtube.com/watch?v=5HdhCDdDnP0]</span>''' *'''<span style="color:#ff0000">Floor: pectineus muscle for deep dissection (fascia lata for superficial)</span>''' **Note that adductor longus and sartorious are posterior to fascia lata and are therefore not the relevant medial and lateral boundaries for superficial dissection. *'''Contemporary modified ILND should include the central and superior zones of the inguinal region[https://pubmed.ncbi.nlm.nih.gov/21481617/] and the deep inguinal nodes'''
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