A Technique Facilitating Muscle-Sparing Thoracotomy

2002 ◽  
Vol 10 (2) ◽  
pp. 194-195 ◽  
Author(s):  
Yiğit Akçali ◽  
Hasan Demir ◽  
Bekir Tezcan
Keyword(s):  
Postoperative Pain ◽  
Pulmonary Function ◽  
Latissimus Dorsi ◽  
Serratus Anterior ◽  
Muscle Sparing

The muscle-sparing thoracotomy technique preserves the latissimus dorsi and serratus anterior muscles and provides excellent exposure for most thoracic and mediastinal operations. It also reduces postoperative pain and complications, and preserves pulmonary function. The technique has been developed further to facilitate subcutaneous dissection by insufflation of air from a syringe connected to a large-bore needle via a 3-way tap.

scholarly journals The effect of muscle-sparing versus standard posterolateral thoracotomy on pulmonary function, muscle strength, and postoperative pain

1991 ◽  
Vol 101 (3) ◽  
pp. 394-401 ◽  
Author(s):  
Stephen R. Hazelrigg ◽  
Rodney J. Landreneau ◽  
Theresa M. Boley ◽  
Marydeth Priesmeyer ◽  
Richard A. Schmaltz ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Muscle Strength ◽  
Pulmonary Function ◽  
Posterolateral Thoracotomy ◽  
Muscle Sparing

Muscle-sparing thoracotomy: Anatomy and technique

2021 ◽  
Keyword(s):  
Latissimus Dorsi ◽  
Posterolateral Thoracotomy ◽  
Long Term Outcomes ◽  
Serratus Anterior ◽  
Video Tutorial ◽  
Study Results ◽  
Muscle Sparing ◽  
Technical Factors ◽  
Thoracotomy Incision

The thoracotomy incision is essential for many thoracic surgery procedures. A number of different variations exist, and different techniques can be used, depending both on the patient and on the technical factors. The muscle-sparing technique was first described by Noirclerc et al. in 1973. [1] Initially, it was thought that preservation of the muscular structures compared with the results of a traditional posterolateral thoracotomy, in which the latissimus dorsi and sometimes the serratus anterior are often divided, would benefit long-term outcomes. However, subsequent study results have not demonstrated any difference in postoperative outcomes. The unequivocal benefit of a muscle-sparing approach is to preserve the latissimus dorsi for any future intervention, such as a procedure involving the chest wall and the intrathoracic flaps. In this video tutorial, we describe our approach to this commonly used incision, including the anatomy and the technical aspects used to provide optimal operative exposure and minimal postoperative complications while preserving the underlying musculature.

The Effect of Muscle-Sparing Versus Standard Posterolateral Thoracotomy on Pulmonary Function, Muscle Strength, and Postoperative Pain

1992 ◽  
Vol 36 (2) ◽  
pp. 96
Author(s):  
S. R. HAZELRIGG ◽  
R. J. LANDRENEAU ◽  
T. M. BOLEY ◽  
M. PRIESMEYER ◽  
R. A. SCHMALTZ ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Muscle Strength ◽  
Pulmonary Function ◽  
Posterolateral Thoracotomy ◽  
Muscle Sparing

Effect of internal mammary harvest on postoperative pain and pulmonary function

1993 ◽  
Vol 56 (5) ◽  
pp. 1107-1109 ◽  
Author(s):  
Amram J. Cohen ◽  
Paul Moore ◽  
Carolyn Jones ◽  
Thomas J. Miner ◽  
Wallace R. Carter ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Pulmonary Function ◽  
Internal Mammary

scholarly journals EFFECT OF INTERPLEURAL MORPHINE ON POSTOPERATIVE PAIN AND PULMONARY FUNCTION AFTER THORACOTOMY

1992 ◽  
Vol 69 (6) ◽  
pp. 637-639 ◽  
Author(s):  
M. WELTE ◽  
E. HAIMERL ◽  
J. GROH ◽  
J. BRIEGEL ◽  
L. SUNDER-PLASSMANN ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Pulmonary Function
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