Volume : X, Issue : II, February - 2020

Morbidity following Inguinal Lymphadenectomy – A Single Institutional Study

Dr. H. Prasanna Srinivasa Rao

Abstract :

Inguinal node dissections is one of the commonly performed oncological surgeries in our part of the world. Most common indications include carcinoma of the penis, carcinoma vulva and cutaneous malignancies of the lower limb. Objectives: Despite various methodology and strategies to minimise the complications and morbidity of inguinal lymphadenectomy, the complication rates are quite high. In this study, we attempt to analyse the inguinal lymphadenectomies performed at our centre over a 5 years span, various complications and identify risk factors for the same. Materials & Methods: Medical records of patients who had undergone inguinal node dissections from 2014 to 2018 for various indications at our centre were identified and retrospectively analysed. Clinical information including age, BMI, type of primary cancer, stage, procedure, type and indication for inguinal nodal dissection, type of incision used, duration of unilateral or bilateral suction drainage, number of nodes resected, use of flap to cover the groin defect, use of extended postoperative prophylactic antibiotics, and need for adjuvant therapy was abstracted from patient records. Results: Our study has reported a significantly high complication rate for inguinal lymphadenectomies(72.29%). The significant risk factors correlating with incidence of complications are BMI>25, presence of palpable inguinal nodes and primary closure of inguinal wound rather than flap cover. Conclusions: Hence it may be inferred that judicious use of flap cover should be preferred over primary closure of groin wound particularly in obese patients with palpable nodes where the thin skin flaps may jeopardise the vascularity and hence result in higher complication rate.

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Article: Download PDF    DOI : 10.36106/ijar  

Cite This Article:

MORBIDITY FOLLOWING INGUINAL LYMPHADENECTOMY‾A SINGLE INSTITUTIONAL STUDY, Dr.H.Prasanna Srinivasa Rao INDIAN JOURNAL OF APPLIED RESEARCH : Volume-10 | Issue-2 | February-2020

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