Xiphoidectomy.
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.
de Lima Vazquez
Vinicius
V
Washington Cancer Institute, Washington, DC 20010, USA.
Sugarbaker
Paul H
PH
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*