Morbidity following groin dissection for penile carcinoma.
From 1962 to 1990, 231 inguinal and 174 ilio-inguinal lymphadenectomies were performed on 234 patients with penile carcinoma. The morbidity of inguinal lymphadenectomy included wound infection in 18%, skin edge necrosis in 61%, seroma formation in 5% of dissections, and lymphoedema in 25% of limbs. The morbidity of ilio-inguinal lymphadenectomy included wound infection in 14%, skin edge necrosis in 64%, seroma formation in 9% of dissections, and lymphoedema in 29% of limbs. Pre-operative radiation to the groin significantly increased the healing complications. The routine use of a myocutaneous flap for primary reconstruction of the groin following ilio-inguinal lymphadenectomy resulted in 100% primary wound healing and significantly reduced the post-operative hospital stay to a mean of 10 days.
Ravi
R
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Department of Genitourinary Surgery, Cancer Institute (W.I.A.), Madras, India.
D006801:Humans; D007264:Inguinal Canal; D007902:Length of Stay; D008197:Lymph Node Excision / Q000009:adverse effects* / Q000379:methods; D008207:Lymphatic Metastasis; D008297:Male; D010412:Penile Neoplasms / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications; D016038:Skin Transplantation; D014945:Wound Healing / Q000528:radiation effects