Advertisement

Femoral Hernia Following Inguinal Lymphadenectomy: A Rare Complication

  • Paramesh ShivannaEmail author
  • Mukur Dipi Ray
Case Report
  • 16 Downloads

Introduction

Inguinal lymph node dissection is a common procedure performed as part of nodal staging for malignancies of external genitalia and skin below umbilicus. Inguinal lymphadenectomy alone or combined with iliac lymphadenectomy is associated with increased frequency of complications, up to 80%, often requiring prolonged hospitalization. The common complications include wound infection, seroma, lymphorrhea and lymphedema. We encountered an unusual case of femoral hernia following inguinal lymphadenectomy, a complication very rarely reported in the literature.

Case Report

A 52-year-old postmenopausal lady presented with progressively increasing, painful, ulcerative lesion involving the vulva. On clinical examination, there was a 3 × 4 cm ulcer, involving and limited to right labia majora. She had no palpable inguinal nodes. Biopsy of the lesion showed vulvar intraepithelial neoplasia (VIN grade III) with small focus of suspicious superficial invasion. With a clinical diagnosis of...

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Swan MC, Furniss D, Cassell OCS. Surgical management of metastatic inguinal lymphadenopathy. BMJ. 2004;329(7477):1272–6.CrossRefGoogle Scholar
  2. 2.
    Way S. Hunterian lecture. Ann R Coll Surg Engl. 1948;3(4):187–209.PubMedPubMedCentralGoogle Scholar
  3. 3.
    Söderman M, Thomsen JB, Sørensen JA. Complications following inguinal and ilioinguinal lymphadenectomies: a meta-analysis. J Plast Surg Hand Surg. 2016;50(6):315–20.CrossRefGoogle Scholar
  4. 4.
    Faut M, Heidema RM, Hoekstra HJ, van Ginkel RJ, Been SLB, Kruijff S, et al. Morbidity after inguinal lymph node dissections: it is time for a change. Ann Surg Oncol. 2017;24(2):330–9.CrossRefGoogle Scholar
  5. 5.
    Ray MD, Garg PK, Jakhetiya A, Kumar S, Pandey D. Modified skin bridge technique for ilioinguinal lymph node dissection: a forgotten technique revisited. World J Methodol. 2016;6(3):187–9.CrossRefGoogle Scholar
  6. 6.
    Ray MD, Jakhetiya A, Kumar S, Mishra A, Singh S, Shukla NK. Minimizing post-operative complications of groin dissection using modified skin bridge technique: a single-centre descriptive study showing post-operative and early oncological outcomes. World J Surg. 2018;42(10):3196–201.CrossRefGoogle Scholar
  7. 7.
    Magrina JF, Tahery MM, Heppell J, Cornella JL. Femoral hernia: a complication of laparoscopic pelvic lymphadenectomy after groin node dissection. J Laparoendosc Adv Surg Tech A. 1997;7(3):191–3.CrossRefGoogle Scholar
  8. 8.
    Muus Steffensen S, Ahm Sørensen J. Femoral hernia. A rare complication following deep inguinal lymph node dissection. BMJ Case Rep 2015;2015.  https://doi.org/10.1136/bcr-2014-20817.
  9. 9.
    Hachisuka T. Femoral hernia repair. Surg Clin North Am. 2003;83(5):1189–205.CrossRefGoogle Scholar
  10. 10.
    Zografos GC, Karakousis CP. Repair after radical groin dissection. J Surg Oncol. 1999;71(2):117–9.CrossRefGoogle Scholar
  11. 11.
    Voeller GR, Mangiante EC. Laparoscopic femoral hernia repair using a mesh dart. J Laparoendosc Surg. 1994;4(3):221–5.CrossRefGoogle Scholar

Copyright information

© Association of Gynecologic Oncologists of India 2019

Authors and Affiliations

  1. 1.Surgical OncologyAIIMS, New DelhiNew DelhiIndia

Personalised recommendations