Resection of Pelvic Tumors with Visceral Involvement

Abstract

The abdominoinguinal incision is in a sense a derivative of the radical groin incision, in which the retroperitoneal space in entered through a lateral incision dividing the anterolateral abdominal wall muscles and then the inguinal ligament lateral to the femoral artery. Division of the inferior epigastric artery and vein at their origin follows, and the iliac fossa and the iliac vessels are exposed. The exposure is not nearly as adequate as in the abdominoinguinal incision, however. With the radical groin incision, the approach is from lateral to medial, in terms of ligating and dividing the inferior epigastric vessels, whereas in the abdominoinguinal incision, the approach is from medial to lateral, and of course with the abdominal part of this incision, one can get ample exposure in the abdominal cavity and extend the incision as proximally as needed, all the way up to the xiphoid.