Abdomino Inguinal Approach For Retroperitoneal Sarcoma

The abdominoinguinal incision allows a vast improvement in the exposure and resectability of tumors in the lower abdomen with fixation to the pelvic side wall. A midline abdominal incision is connected to a longitudinal inguinal incision across the inguinal ligament. The pelvic side wall is directly exposed by detachment of the rectus muscle from its origin on the pubic crest and by division of the inguinal canal along the spermatic cord. This exposure allows safe resections along the iliac vessels without tumor spillage. The abdominoinguinal incision should be part of the armamentariurn of every surgeon willing to accept responsibility for pelvic and pelvic side wall malignancy. 26 year old female who came with pedal edema and pain abdomen was diagnosed as retroperitoneal sarcoma. We have successfully excised the tumor by abdomino inguinal approach.