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Ann Thorac Surg 1981;32:101-104
© 1981 The Society of Thoracic Surgeons

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Articles

Horizontal Submammary Skin Incision for Median Sternotomy

From the Department of Thoracic Surgery, University Hospital, Leiden, The Netherlands

Accepted for publication June 13, 1980.

^* Address reprint requests to Dr. A. G. Brom, Department of Thoracic Surgery, University Hospital, Leiden, The Netherlands

Usual techniques in open-heart operations leave a vertical median skin scar. Especially for women this is rather embarrassing since it looks ugly. The use of a horizontal submammary skin incision for access to the heart is described here. Although obtaining the usual midsternal exposure takes some extra time, long-term results have shown the value of this approach and its benefit to the patient. The surgical technique is simple, and wound healing, in the long run, is unimpaired.

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