CPT® Code 38765

Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure)

A superficial inguinofemoral lymphadenectomy is a surgical procedure that involves the removal of lymph nodes located in the inguinal (groin) region, specifically in continuity with a pelvic lymphadenectomy. This procedure is classified as a separate procedure, meaning it is performed independently and not as part of a larger surgical intervention. The inguinofemoral lymphadenectomy focuses on the superficial lymph nodes, which are critical in the assessment and treatment of malignancies, particularly in the context of cancers that may spread to these lymphatic regions. The procedure is particularly relevant when there is a suspicion or confirmation of malignancy in the inguinal area, as it allows for the evaluation and potential removal of affected lymph nodes. The surgical approach typically involves making an incision parallel to the inguinofemoral ligament, through which the surgeon can access and excise the lymphatic tissue. This procedure may be performed in conjunction with a pelvic lymphadenectomy, which involves the removal of additional lymph nodes located in the pelvic region, including the external iliac, hypogastric, and obturator nodes, especially if malignancy is detected in the inguinal lymph nodes. The careful dissection and removal of these lymph nodes are crucial for staging cancer and determining the appropriate course of treatment.