You are here: Urology Textbook > Urologic surgery > Groin surgery

Groin Surgery: Approach to Inguinal Lymph nodes

Urologic Indications

Inguinal lymphadenectomy in:

• Penile cancer
• Cancer of the distal urethra

Preoperative Patient Preparation

• Patient positioning: supine position with slight abduction of the hip and flexion of the knee
• General or spinal anesthesia
• Perioperative antibiotic prophylaxis

Surgical Technique: Inguinal Approach

• Skin incision 3 cm below and parallel to the inguinal ligament, see fig. groin surgery
• Straight dissection of the subcutaneous tissue through the fascia of scarpa to the fascia lata. The skin should be dissected together with the subcutaneous tissue to preserve the supplying vessels.
• Identification and isolation of the great saphenous vein and superficial veins near the fossa ovalis (superficial epigastric, superficial iliac circumflex, and superficial external pudendal veins).

Groin incision to approach the inguinal lymph nodes: skin incision 3 cm below and parallel to the inguinal ligament

References

  Deutsche Version: Operativer Zugang zu den inguinalen Lymphknoten