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
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Step by step
Thoracic wall approach
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 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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