Abstract
Make a standard skin incision over the entire length of the left 11th rib. Extend the incision from the rib tip medial-inferiorly to the edge of the rectus sheath (Fig. 16A). You can expand the incision by curving the posterior arm cephalad to allow for removal of additional rib and by extending the anterior arm down the abdominal wall vertically for exposure of more of the lumbar spine retroperitoneally.
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References
Hodgson AR, Yau ACMC: Anterior surgical approaches to the spinal column. Chapter 9 in Apley AG (ed): Recent Advances in Orthopaedics. Baltimore, Williams & Wilkins, 1964 pp 289–323.
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© 1983 Springer-Verlag New York Inc.
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Watkins, R.G. (1983). Eleventh Rib Approach. In: Surgical Approaches to the Spine. Springer, New York, NY. https://doi.org/10.1007/978-1-4684-0155-4_16
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DOI: https://doi.org/10.1007/978-1-4684-0155-4_16
Publisher Name: Springer, New York, NY
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