Saphenous Vein Sparing Superficial Inguinal Dissection in Lower Extremity Melanoma

Aim. The classic inguinal lymph node dissection is the main step for the regional control of the lower extremity melanoma, but this surgical procedure is associated with significant postoperative morbidity. The permanent lymphedema is the most devastating long-term complication leading to a signific...

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Main Authors: Muhammed Beşir Öztürk, Arzu Akan, Özay Özkaya, Onur Egemen, Ali Rıza Öreroğlu, Turgut Kayadibi, Mithat Akan
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Journal of Skin Cancer
Online Access:http://dx.doi.org/10.1155/2014/652123
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author Muhammed Beşir Öztürk
Arzu Akan
Özay Özkaya
Onur Egemen
Ali Rıza Öreroğlu
Turgut Kayadibi
Mithat Akan
author_facet Muhammed Beşir Öztürk
Arzu Akan
Özay Özkaya
Onur Egemen
Ali Rıza Öreroğlu
Turgut Kayadibi
Mithat Akan
author_sort Muhammed Beşir Öztürk
collection DOAJ
description Aim. The classic inguinal lymph node dissection is the main step for the regional control of the lower extremity melanoma, but this surgical procedure is associated with significant postoperative morbidity. The permanent lymphedema is the most devastating long-term complication leading to a significant decrease in the patient’s quality of life. In this study we present our experience with modified, saphenous vein sparing, inguinal lymph node dissections for patients with melanoma of the lower extremity. Methods. Twenty one patients (10 women, 11 men) who underwent saphenous vein sparing superficial inguinal lymph node dissection for the melanoma of lower extremity were included in this study. The effects of saphenous vein sparing on postoperative complications were evaluated. Results. We have observed the decreased rate of long-term lymphedema in patients undergoing inguinal lymphadenectomy for the lower extremity melanoma. Conclusion. The inguinal lymphadenectomy with saphenous vein preservation in lower extremity melanoma patients seems to be an oncologically safe procedure and it may offer reduced long-term morbidity.
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institution Kabale University
issn 2090-2905
2090-2913
language English
publishDate 2014-01-01
publisher Wiley
record_format Article
series Journal of Skin Cancer
spelling doaj-art-403cf51f44d44c8e808fed64914f6bc52025-02-03T05:48:09ZengWileyJournal of Skin Cancer2090-29052090-29132014-01-01201410.1155/2014/652123652123Saphenous Vein Sparing Superficial Inguinal Dissection in Lower Extremity MelanomaMuhammed Beşir Öztürk0Arzu Akan1Özay Özkaya2Onur Egemen3Ali Rıza Öreroğlu4Turgut Kayadibi5Mithat Akan6Department of Plastic Reconstructive and Aesthetic Surgery, Tekirdag Government Hospital, 59020 Tekirdag, TurkeyDepartment of General Surgery, Okmeydani Training and Research Hospital, 34445 Istanbul, TurkeyDepartment of Plastic Reconstructive and Aesthetic Surgery, Okmeydani Training and Research Hospital, 34445 Istanbul, TurkeyDepartment of Plastic Reconstructive and Aesthetic Surgery, Okmeydani Training and Research Hospital, 34445 Istanbul, TurkeyDepartment of Plastic Reconstructive and Aesthetic Surgery, Prof. Dr. A. Ilhan Ozdemir State Hospital, 28000 Giresun, TurkeyDepartment of Plastic Reconstructive and Aesthetic Surgery, Okmeydani Training and Research Hospital, 34445 Istanbul, TurkeyDepartment of Plastic Reconstructive and Aesthetic Surgery, Medipol University Hospital, 34200 Istanbul, TurkeyAim. The classic inguinal lymph node dissection is the main step for the regional control of the lower extremity melanoma, but this surgical procedure is associated with significant postoperative morbidity. The permanent lymphedema is the most devastating long-term complication leading to a significant decrease in the patient’s quality of life. In this study we present our experience with modified, saphenous vein sparing, inguinal lymph node dissections for patients with melanoma of the lower extremity. Methods. Twenty one patients (10 women, 11 men) who underwent saphenous vein sparing superficial inguinal lymph node dissection for the melanoma of lower extremity were included in this study. The effects of saphenous vein sparing on postoperative complications were evaluated. Results. We have observed the decreased rate of long-term lymphedema in patients undergoing inguinal lymphadenectomy for the lower extremity melanoma. Conclusion. The inguinal lymphadenectomy with saphenous vein preservation in lower extremity melanoma patients seems to be an oncologically safe procedure and it may offer reduced long-term morbidity.http://dx.doi.org/10.1155/2014/652123
spellingShingle Muhammed Beşir Öztürk
Arzu Akan
Özay Özkaya
Onur Egemen
Ali Rıza Öreroğlu
Turgut Kayadibi
Mithat Akan
Saphenous Vein Sparing Superficial Inguinal Dissection in Lower Extremity Melanoma
Journal of Skin Cancer
title Saphenous Vein Sparing Superficial Inguinal Dissection in Lower Extremity Melanoma
title_full Saphenous Vein Sparing Superficial Inguinal Dissection in Lower Extremity Melanoma
title_fullStr Saphenous Vein Sparing Superficial Inguinal Dissection in Lower Extremity Melanoma
title_full_unstemmed Saphenous Vein Sparing Superficial Inguinal Dissection in Lower Extremity Melanoma
title_short Saphenous Vein Sparing Superficial Inguinal Dissection in Lower Extremity Melanoma
title_sort saphenous vein sparing superficial inguinal dissection in lower extremity melanoma
url http://dx.doi.org/10.1155/2014/652123
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