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Hiroshi Watanabe
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Ann Thorac Surg 1992;54:787-788
© 1992 The Society of Thoracic Surgeons

Articles

Limited vertical skin incision for median sternotomy

Shoh Tatebe, MD*, Shoji Eguchi, MD, Haruo Miyamura, MD, Satoshi Nakazawa, MD, Hiroshi Watanabe, MD, Masa-aki Sugawara, MD, Jun-ichi Hayashi, MD, Kazutoshi Date, MD, Satoru Nakagawa, MD

Department of Thoracic and Cardiovascular Surgery, Niigata University School of Medicine, Niigata City, Japan

Accepted for publication May 20, 1992.

* Address reprint requests to Dr Tatebe, Department of Thoracic and Cardiovascular Surgery, Niigata University School of Medicine, 757 Asahimachi-Dohri 1, Niigata City, 9511, Japan.

The cosmetic deformity of the vertical skin incision for median sternotomy was decreased by using a mechanical traction system to increase exposure at the superior margin of a shorter wound. The limited vertical skin incision did not impede technical surgical maneuvers and produced a scar that was more acceptable than submammary incision or right anterior thoracotomy. The limited skin incision is especially useful in young women with congenital heart disease.




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