The Effect of Sartorius Transposition on Wound Morbidity Following Inguinal–Femoral Lymphadenectomy

摘要: Abstract In spite of efforts to reduce complications associated with inguinal–femoral lymphadenectomy (IFL), morbidity continues be substantial. We sought assess the efficacy sartorius transposition (ST) in reducing groin wound following IFL, patients vulvar malignancy. The records 101 cancer undergoing IFL through separate incisions between March 1975 and December 1994 were examined. Sixty-two ST (group 1) compared 38 who did not 2). groups similar respect age, weight, tobacco/alcohol use, prior abdominal/vulvar surgery, prevalence diabetes, hypertension, or peripheral vascular disease, previous exposure irradiation chemotherapy. Additionally, there was no significant difference extent incidence macro-/microscopic metastases, use drains, perioperative antibiotics deep venous thrombosis prophylaxis. Groin less frequent 1). cellulitis 30% group 1 an 58% 2 ( P = 0.011). Significant morbidity, defined as either breakdown cellulitis, seen frequently (41% vs 66%; 0.029). Employing a multivariate analysis, only patient weight 0.0281 0.0075, respectively). conclusion, despite waning enthusiasm for its performance, appeared significantly after IFL. Our data confirmed that incisions, improved antibiotics, have eliminated value inherent this surgical modification. suggest prospective trial further establish benefit during