Table 1

Patient demographic and surgical characteristics

CharacteristicGroup; no. (%) of cases*p value
Lazy S incision
n = 15
Perioperative bundle
n = 19
Age, mean ± SD, yr61.7 ± 15.662.4 ± 12.80.9
Male sex9 (60)9 (47)0.5
Comorbidities
 Diabetes mellitus3 (20)4 (21)0.9
 Hypertension6 (40)7 (37)0.8
 Chronic obstructive pulmonary disease1 (7)1 (5)0.9
 Coronary artery disease2 (13)3 (16)0.8
Smoker0.4
 Current4 (27)2 (10)
 Previous4 (27)4 (21)
ASA score0.6
 25 (33)5 (26)
 310 (67)13 (68)
 40 (0)1 (5)
Prior radiation1 (7)1 (5)0.9
Prior groin surgery0 (0)1 (5)0.4
Right side10 (67)4 (21)0.007
Histologic subtype0.1
 Malignant melanoma
  Superficial spreading10 (67)10 (6)
  Acral lentiginous0 (0)3 (16)
  Nodular0 (0)2 (10)
  Metastatic melanoma of unknown primary1 (7)4 (21)
 Apocrine carcinoma1 (7)0 (0)
 Squamous cell carcinoma2 (13)0 (0)
 Merkel cell carcinoma1 (7)0 (0)
Reason for surgery0.1
 Palpable nodal disease9 (60)16 (84)
 Positive result of sentinel node biopsy6 (40)3 (16)
Type of dissection0.007
 Superficial inguinal alone8 (53)2 (10)
 Superficial and deep inguinal7 (47)17 (90)
No. of nodes excised, mean ± SD14.1 ± 8.414.4 ± 7.40.9
  • ASA = American Society of Anesthesiologists; SD = standard deviation.

  • * Except where noted otherwise.

  • Included, among other things, the inguinal-crease–preserving skin bridge incision, running subcuticular skin closure and negative-pressure wound therapy.