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Constantine P. Karakousis, MD, FACS, FRCS(C)

Arch Surg. 1982;117(6):840-844.

Abstract
• Exposure of malignant tumors in the lower area of the retroperitoneum, abdominal wall, and wall of the pelvis may be provided through the use of a lower midline incision extending at the inferior end transversely to the ipsilateral femoral vessels and vertically in the femoral triangle. The ipsilateral rectus is divided near its origin and the inguinal ligament is divided near the pubic tubercle. Following ligation and division of the inferior deep epigastric vessels, full exposure in this area is provided. The lower portion of the abdominal wall may be replaced by mesh if necessary.

(Arch Surg 1982;117:840-844)

Author Affiliations
From the Department of Surgical Oncology, New York State Department of Health, Roswell Park Memorial Institute, Buffalo.

Footnotes
Accepted for publication July 9, 1981.

Reprint requests to Department of Surgical Oncology, Roswell Park Memorial Institute, 666 Elm St, Buffalo, NY 14263 (Dr Karakousis).

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