Minimally Invasive Inguinal Lymph Node Dissection

Minimally invasive inguinal lymph node dissection (MILND) is a three-trocar technique that respects the same anatomic boundaries and oncologic principles of its open predecessor. As with any oncologic procedure, judgment is essential in patient selection and multidisciplinary input is critical for optimal management. MILND has significantly decreased the incidence of wound complications, surgical site infections, and all but eliminated wound dehiscence, which are problematic in the groin. Prolonged drain days and seroma remain an unresolved issue. This chapter provides the reader a step-by-step outline of the how to perform the procedure in text form as well as pictorial and a video accompaniment.