The provider surgically excises the superficial lymph nodes in the inguinal, or groin area, and femoral, or thigh area. He also excises the lymph nodes from the pelvic area, in this procedure, including the external iliac, hypogastric, and obturator nodes. The provider does not excise the lymph nodes buried deep beneath the layers of muscle. The provider commonly removes the superficial inguinofemoral lymph nodes for cancer in the lower abdomen; he removes the pelvic lymph nodes at the same time as the disease is also in this area.
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