[Modified posterior subscapular approach to the trunks of the brachial plexus].
In 1993 A. Dubuisson et al. describe a posterior subscapular approach to treating different forms of lesions of the trunks of the brachial plexus in detail. However, during a surgical intervention, the authors encountered some inconveniences hampering the course of an operation. Therefore they modified the above approach, by changing a patient's position on the operating table and the line and shape of a skin incision, and used a current system of retractors. Fifteen patients were operated on, by applying the modified posterior subscapular approach. The authors arrived at the conclusion that this approach substantially facilitates surgical manipulations, provides a good imaging of neurovascular and osseous structures, by protecting them against unnecessary traumatism, noticeably decreases the duration of a surgical intervention, and reduces the risk of postoperative complications.
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Tsuladze
O N
ON
Dreval'
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RL
Kambiev
D000328:Adult; D001917:Brachial Plexus / Q000293:injuries / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods*; D012540:Scapula