groin tumor resection

Treatment of diseases: spermatic malignancies Indication 1. The living tissue of the inguinal tumor is taken. 2. Small soft tissue malignant tumor in the groin. Contraindications 1. Metastatic lesions in the groin area. 2. The anterior and medial septal tumors invade the groin. Preoperative preparation 1. The exact boundary of soft tissue tumors is sometimes difficult to locate before surgery. For this purpose, X-ray films, CT, MRI, radionuclide scanning, angiography, etc. should be performed to understand the extent of the tumor and its surrounding tissues. Relationship. 2. Vascular anastomotic devices should be prepared during surgery to allow for vascular grafts when needed. 3. Patients with larger tumors should be prepared for blood. Surgical procedure Incision A fusiform incision is made centering on the lesion. If a biopsy is performed before surgery, the center of the incision should include the original biopsy incision. 2. Expose and remove the tumor The free medial and lateral flaps can reveal the lateral sartorius muscle, the medial adductor longus, and the proximal external oblique aponeurosis. The inguinal ligament and the external oblique muscle aponeurosis are cut into the retroperitoneal space to expose the femoral blood vessels so that bleeding can be controlled during the operation. At the same time, the inferior epigastric artery can be seen. In order to retract the abdominal wall to the medial side, the blood vessel should be ligated and cut. The tumor was dissected together with the lymph node tissue in the inguinal region for anatomy. The femoral nerve can be revealed under the fascia fascia. In this plane femoral nerve, there are 2 to 3 branches that innervate the rectus femoris, and other branches should be cut off due to entering the tumor. If the low-grade malignant tumor is close to or adhered to the femoral blood vessel, the tumor, the femoral blood vessel, the pubis muscle, the adductor longus muscle, etc. should be removed and transplanted. The transverse abdominis muscle, the internal oblique muscle, the external oblique muscle and the inguinal ligament were sutured. After washing, the blood was completely stopped and the incision was sutured in layers. For the hip joint, the deep tumor of the groin can only be marginal resection. Partial pelvic resection is performed to remove the upper edge of the pubis or acetabulum, and extensive or radical resection can be achieved. complication 1. Give high protein, high vitamin and cellulose-rich digestible diet. 2, do not eat spicy spicy food. Postoperative diet 1. Give high protein, high vitamin and cellulose-rich digestible diet. 2, do not eat spicy spicy food.

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