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Ann Thorac Surg 2002;74:1724-1726
© 2002 The Society of Thoracic Surgeons

How to do it

Cosmetic approach to anterior mediastinal masses

Charles F. Bellows, MDa, Renee S. Hartz, MDa*, Carey Cullinane, MDa, John D. Pigott, MDa

a Department of Surgery, Tulane University School of Medicine, New Orleans, Louisiana, USA

Accepted for publication May 1, 2002.

* Address reprint requests to Dr Hartz, Department of Surgery, SL22, Tulane University School of Medicine, 1430 Tulane Ave, New Orleans, LA 70122, USA.
e-mail: rshartzmd{at}aol.com

A new approach for the removal of thymic tissue or any anterior mediastinal pathology is described. It uses a novel low U-shaped skin incision combined with a J-shaped upper mini-sternotomy. This technique was designed to provide wide exposure of the mediastinum and to be cosmetically appealing. Our study included 12 patients, 4 with a preoperative diagnosis of myasthenia gravis. There were no operative mortality and three complications. This procedure allows for complete removal of all thymic tissue under direct vision, and is less invasive that full sternotomy.




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