Ray MD, Garg PK, Jakhetiya A, Kumar S, Pandey D. Modified skin bridge technique for ilio-inguinal lymph node dissection: A forgotten technique revisited. World J Methodol 2016; 6(3): 187-189 [PMID: 27679781 DOI: 10.5662/wjm.v6.i3.187]
Corresponding Author of This Article
Dr. Pankaj K Garg, Associate Professor, Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, University of Delhi, Dilshad Garden, Delhi 110095, India. dr.pankajgarg@gmail.com
Research Domain of This Article
Surgery
Article-Type of This Article
Therapeutics Advances
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Mukur Dipi Ray, Pankaj K Garg, Ashish Jakhetiya, Sunil Kumar, Durgatosh Pandey, Department of Surgical Oncology, Dr BRA Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi 110029, India
Pankaj K Garg, Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, University of Delhi, Delhi 110095, India
Author contributions: Ray MD and Garg PK conceptualized the study; Garg PK retrieved the clinical data, searched the literature, analyzed the retrieved clinical data and published literature; Garg PK wrote the initial draft; Ray MD, Jakhetiya A, Kumar S and Pandey D provided critical inputs in literature search and analysis, and drafting the manuscript; all the authors read the final draft and approved it.
Conflict-of-interest statement: There is no conflict of interest associated with any of the author.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dr. Pankaj K Garg, Associate Professor, Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, University of Delhi, Dilshad Garden, Delhi 110095, India. dr.pankajgarg@gmail.com
Telephone: +91-11-22592536 Fax: +91-11-22599495
Received: April 29, 2016 Peer-review started: May 3, 2016 First decision: June 17, 2016 Revised: June 18, 2016 Accepted: July 14, 2016 Article in press: July 16, 2016 Published online: September 26, 2016
Abstract
Ilio-inguinal lymph node dissection (IILD) is a commonly performed surgical procedure for a number of malignant conditions involving mainly the male and female genitalia, and the skin; however the postoperative morbidity of IILD, due to high frequency of flap necrosis, wound infection and seroma formation, has always been a major concern for the surgeons. The aim of the study is to highlight a modified skin bridge technique of IILD using two parallel curvilinear incisions to minimize postoperative skin flap necrosis. This technique was successfully employed in 38 IILD during May 2012 to November 2013. None of the patient had flap necrosis. Two patients developed seroma while another two patients had superficial surgical site infection; they were managed conservatively. Modified skin bridge technique for IILD is an effective method to minimize flap necrosis without compromising the oncological safety.
Core tip: Ilio-inguinal lymph node dissection (IILD) has classically been associated with high postoperative complications which include flap necrosis, wound infection, seroma formation, and lymphedema. A modified skin bridge technique of performing IILD aims to minimize the postoperative wound complications. It is an effective method to minimize flap necrosis without compromising adequate oncologically safe dissection.
