title: Xiphoidectomy.
abstract: Complex surgical procedures in the upper abdomen required ear exposure. To improve exposure xiphoidectomy is indicated; however, in the past there was an extensive time commitment and unpredictable bleeding. We describe a rapid and bloodless approach to xiphoidectomy, utilizing a self-retaining retractor, controlled osteotomy, and complete removal to the xiphisternal junction. The xiphoid bone is dissected with high-voltage electrosurgery, denatured, and resected completely. Bleeding points are easily controlled with electrocoagulation. This procedure allows optimal exposure to the most superior aspect of the abdominal cavity.
authors.affiliation: Washington Cancer Institute, Washington, DC 20010, USA.
authors.forename: Vinicius
authors.initials: V
authors.lastname: de Lima Vazquez
authors.forename: Paul H
authors.initials: PH
authors.lastname: Sugarbaker
mesh_terms: D003964:Diaphragm / Q000098:blood supply / Q000473:pathology / Q000601:surgery; D013505:Digestive System Surgical Procedures / Q000379:methods*; D006503:Hepatic Veins / Q000601:surgery; D006801:Humans; D008099:Liver / Q000098:blood supply / Q000473:pathology / Q000601:surgery; D013274:Stomach Neoplasms / Q000601:surgery; D014989:Xiphoid Bone / Q000473:pathology / Q000601:surgery*