662 R-Veil By Fascia Lata First, Lateral Approach

Dr. Vandana Jain

Open inguinal lymph node dissection is associated with high rates of wound related complications like cellulitis, wound dehiscence and flap necrosis. R-VEIL is associated with significantly lesser incidence of wound complications. We describe further innovation in the R-VEIL procedure where we create the initial plane of entry just above the fascia Lata which is a tough structure and easily lifts off the superficial nodal packet off it. As compared to the conventional technique where we enter beneath the scarpa fascia this technique allows for better dissection planes and visibility. Also the ports are positioned lateral to the lateral boundary of femoral triangle which is associated with lesser chances of injury to femoral vessels as compared to conventional technique where we are looking at the femoral vessels head on. There is no difference in the number of lymph nodes retrieved between the two techniques.
Procedure Innovation, Gynecologic surgery, Open inguinal lymph node dissection

See more at: https://vattikutifoundation.com/videos/