Thoracotomy Incision Category

Discussion Surgical time and loss of blood have not been increased. The latissimus and serratus are important accessory muscles of respiration which are recruited during forced inspiration, expiration, and coughing. We have subjectively noted less postoperative pain and better respiratory dynamics. Edema of the muscles and chest wall that is seen cephalad to the standard […]

A posterolateral thoracotomy is the incision of choice for the majority of thoracic procedures. The standard approach results in division of the latissimus dorsi and serratus anterior muscles and paralysis of the caudad portion of the transected muscle. Alveolar hypoventilation and “frozen shoulder” are not uncommon sequelae. Technique Twenty-five consecutive patients underwent a muscle-preserving thoracotomy […]