The Use of Fluorescein in Radical Inguinal Lymphadenectomy

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Abstract
Necrosis with slough of skin flaps is a common and distressing complication after radical inguinal node dissection. Conventional methods to predict viability of dermal flaps are unreliable. I.v. fluorescein was a reliable indicator of the adequacy of blood supply to dermal flaps in experimental models and radical mastectomies. Fluorescein was used in 6 separate node dissections for [human] carcinoma of the penis. In all cases, fluorescein reliably delineated viable skin flaps and its use can help decrease the morbidity rate in inguinal node dissection.