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Eleventh Rib Approach

  • Robert G. WatkinsIII

Abstract

Make a standard skin incision over the entire length of the left 11th rib. Extend the incision from the rib tip medioinferiorly to the edge of the rectus sheath (Fig. 20.1). 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.

References

  1. 1.
    Hodgson AR, Yau ACMC: Anterior surgical approaches to the spinal column. In Apley AG (ed): Recent Advances in Orthopaedics. Baltimore, Williams & Wilkins, 1964, pp 289–323.Google Scholar
  2. 2.
    Mouat TB: The operative approach to the kidney of Bernard Fey. Br J Urol 2, 1939.Google Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Robert G. WatkinsIII
    • 1
  1. 1.Marina Spine CenterMarina del ReyUSA

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