Surgical management of metastatic inguinal lymphadenopathy

摘要

Inguinal lymphadenectomy is a common operation performed by general, gynaecological, plastic, and urological surgeons The anatomy of the inguinal lymphatics informs a logical approach to the examination of the region that can readily be taught to patients at risk of inguinal metastasis from a range of cancers Meticulous surgical technique is required to reduce postoperative complications Complications of inguinal lymphadenectomy are common, and trials are currently seeking ways of reducing morbidity associated with the operation Sentinel lymph node biopsy is a promising technique which may in future refine the indications for inguinal lymphadenectomy, provide better prognostic information, and reduce morbidity.