Editing Inguinal Node Dissection (section)

=== Post-operative care ===
* '''Compression stockings, sequential compression devices, early ambulation, and physical therapy are strongly advised immediately after surgery[https://pubmed.ncbi.nlm.nih.gov/18762945/]'''
**Bed rest for 2 or 3 days is only used if myocutaneous or other large skin flap is used.
** Efforts to minimize lymphedema during the initial postoperative period include applying thigh-high elastic wraps or stockings and elevating the foot of the bed.
**Fitted stocking should be after ILND worn when the patient is ambulatory to maintain lower extremity volume. Patients are then assessed at 6 months and given a trial period without the devices. If leg volume increases (assessed by girth measurements) patients are recommended to wear compressive garments on a chronic basis and consulted to lymphedema specialists for massage therapy'''[https://pubmed.ncbi.nlm.nih.gov/18762945/]'''
*Wound site is kept clean and dry
**In obese patients, dry gauze is often placed in the groin crease to prevent excessive moisture and prevent fungal overgrowth.[https://pubmed.ncbi.nlm.nih.gov/18762945/]
* '''Closed-suction rains are removed after when drainage is <30-50 mL/day for consecutive days which typically occurs 3–17 days following surgery<span style="color:#ff0000">[https://link.springer.com/content/pdf/10.1007/978-1-62703-367-1.pdf]</span>'''
**An oral suppressive dose of a cephalosporin can be continued until drains have been removed to assist in sterilizing the port of  potential entry for bacteria.[https://pubmed.ncbi.nlm.nih.gov/18762945/]
*Sutures and/or staples are removed on Day 15[https://www.sciencedirect.com/science/article/pii/S1878788623000292]