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Clamshell and hemiclamshell incisions.

Nicolas Dürrleman1, Gilbert Massard

  • 1Hôpitaux Universitaires de Strasbourg, Département de Chirurgie Thoracique, Hôpital Civil, 1 Place de l'Hôpital, 67000 Strasbourg, France.

Multimedia Manual of Cardiothoracic Surgery : MMCTS
|January 14, 2014
PubMed
Summary
This summary is machine-generated.

Sternotomy is a common cardio-thoracic surgery approach. This study details transverse sternotomy, bilateral thoracotomy, and combined techniques, including their indications and potential complications.

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Area of Science:

  • Cardio-thoracic Surgery
  • Surgical Incisions

Background:

  • Sternotomy represents a frequent surgical access in cardio-thoracic procedures.
  • Variations such as transverse sternotomy and combined approaches have been developed.

Purpose of the Study:

  • To describe surgical techniques for transverse sternotomy with bilateral thoracotomy and combined approaches.
  • To outline the indications for these sternotomy variations.
  • To detail the potential pitfalls associated with these surgical incisions.

Main Methods:

  • Review of surgical techniques for sternotomy variations.
  • Analysis of clinical indications for transverse sternotomy and combined approaches.
  • Documentation of common pitfalls encountered during these procedures.

Main Results:

  • Detailed description of transverse sternotomy with bilateral thoracotomy.
  • Explanation of combined surgical approaches.
  • Identification of specific indications and potential complications for each technique.

Conclusions:

  • Transverse sternotomy and combined approaches offer alternative access routes in cardio-thoracic surgery.
  • Understanding the techniques, indications, and pitfalls is crucial for successful outcomes.