An Investgation Of The Inguinal Limph Node Dissection With The Application Of Artorius Muscle Flap

Objective: To investigate the effects on percutaneous lymphorrhagia, incision infection, cutaneous necrosis and other complications with the application of thigh anterolateral musculocutanious flap in inguinal lymphadenectomy, and to provide evidence for the clinical prevention of complications after inguinal lymphadenectomy.Methods 70 cases who were treated with the inguinal lymph node dissection because of malignant tumor cancer in legs from January 2012 to December 2014,according to surgical approaches, divide the 70 cases into two groups,the traditional inguinal lymph node dissection group(traditional group, 36 cases) and the group of application of sartorius muscle flap in inguinal limph node dissection(experimental group, 34 cases), the analysis of surgeries index and Postoperative conditions of the two kinds of two surgical.Results The drainage on the sixth day after the surgery of experimental group and control group were(30.8 + 15.3) ml,(76.8 + 10.2) ml, the duration of drainage tube were(6.1 + 1.8) d,(11.3 + 2.7) d, the duration of hospitalization were(7.6 + 1.1) d,(11.1 + 1.7) d, difference between the two groups has statistical significance(P<0.05); The incidence of complications of the experimental group was 2.9%, The incidence of complications of the control group was 26.5%.The difference between the two groups has statistical significance(P<0.05);Conclusions The use of sartorius muscle flap in Inguinal lymph node dissection can effectively reduce postoperative lymphatic fistula, incision infection and skin necrosis and other complications, and have an impact on the prevention of postoperative complications of inguinal lymph node dissection.