Thoracic Cavity Approach - Muscle Splitting
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Thoracic Cavity Approach - Muscle Splitting

The Thoracic Cavity Approach – Muscle Splitting course will teach you:

  • To provide adequate exposure of intra-thoracic structures, to optimize the likelihood of a successful outcome from the planned procedure. The site of an intercostal thoracotomy depends on the structures intended for exposure, but the 5th or 6th intercostal space is most commonly used.

Special attention is paid to the following hazards you may encounter during the Thoracic Cavity Approach – Muscle Splitting:

  • Intercostal neurovascular bundle preservation

With the following tips you might perform the Thoracic Cavity Approach – Muscle Splitting  even better:

  • Prevention of rib fractures
  • Suturing of broken ribs

After studying this Thoracic Cavity Approach – Muscle Splitting course you are familiar with the most common complications:

  • Intercostal neurovascular nerve damage
  • Rib fractures
  • Damage to underlying thoracic structures

You might also be interested in:

Thoracic Cavity Approach – Emergency Thoracotomy
Thoracic Cavity Approach – Sternotomy

Step by step

Thoracic wall approach

Skin

Mark

The landmarks applicable to this procedure are the inframammary fold and the lateral border of the breast in women, the nipple line in men, the latissimus dorsi muscle, and the inferior border of the scapula.

Incise

Incise the skin at the level of the fourth or fifth intercostal space, extending from the border of the latissimus dorsi muscle to the border of the breast.

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