title: Adductor muscle group excision.
abstract: A surgical technique for removal of the adductor muscle group invaded by primary soft tissue sarcoma is described. A review of the clinical histories of 14 patients showed that the major complication of this procedure was prolonged suction catheter drainage of lymph, followed by sepsis along the drain tracts. No rationale for removal of the inguinal lymphatics in the absence of direct involvement by tumor or palpable lymphatic metastasis was found in the literature. We conclude that in primary soft tissue sarcoma of the adductor muscle group, clinically uninvolved superficial inguinal lymphatics should be carefully preserved. The limited benefits from removal of these lymph nodes does not merit the marked increase in operative morbidity. A surgical technique for adductor muscle group excision is presented that allows the best principles of sarcoma surgery to be practiced and that carries on acceptable operative morbidity rate.
mesh_terms: D000328:Adult; D000368:Aged; D002648:Child; D018219:Histiocytoma, Benign Fibrous / Q000556:secondary / Q000601:surgery; D006801:Humans; D008197:Lymph Node Excision / Q000009:adverse effects; D008297:Male; D008722:Methods; D009132:Muscles / Q000601:surgery*; D009455:Neurofibroma / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology; D012208:Rhabdomyosarcoma / Q000556:secondary / Q000601:surgery; D012509:Sarcoma / Q000532:radiotherapy / Q000601:surgery*; D013584:Sarcoma, Synovial / Q000556:secondary / Q000601:surgery; D012983:Soft Tissue Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D013848:Thigh