[Submammary skin incision for longitudinal medial sternotomy].
The submammary incision has been postulated as an alternative in median sternotomy approach since 1960. We used this incision in 32 females patients from 1 to 24 years. The diagnoses were atrial septal defects (ASD) 23 patients, ventricular septal defect (VSD) 2 patients, double outlet right ventricle 1 patient, supravalvular aortic stenosis 1 patient, ASD with VSD 3 patients and partial anomalous pulmonary venous connection 1 patient. Nine patients had a complication: cheloid scar 1 patient, seroma 2 patients, wound dehiscence 3 patients, and diminution of sensitivity 3 patients. We conclude, that this type of surgical approach is an excellent alternative for women with good aesthetic and psychological results. Their complications are easy to correct.
Ramírez Marroquín
S
S
Departamento de Cirugía Cardiovascular y de Tórax, Instituto Nacional de Cardiología, Ignacio Chávez, Tlalpan, México, D.F.
Rojas Pacheco
A M
AM
Herrera Alarcón
V
V
Santibáñez Escobar
F
F
Molina Méndez
J
J
Serrano Gallardo
G
G
Barragán García
R
R
D000293:Adolescent; D000328:Adult; D006348:Cardiac Surgical Procedures / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D013249:Sternum / Q000601:surgery*; D013908:Thoracotomy / Q000379:methods
Incisión submamaria para esternotomía media longitudinal.