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Ann Thorac Surg 2004;77:1465-1466
© 2004 The Society of Thoracic Surgeons

How to do it

Simple technique for maximal thoracic muscle harvest

M. Blair Marshall, MDa, Larry R. Kaiser, MDa, John C. Kucharczuk, MDa*

a General Thoracic Surgery, Division of Cardiothoracic Surgery, Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA

Accepted for publication June 25, 2003.

* Address reprint requests to Dr Marshall, Division of Cardiothoracic Surgery, Department of Surgery, Hospital of the University of Pennsylvania, 4 Silverstein Pavilion, 3400 Spruce St, Philadelphia, PA 19104, USA
e-mail: blair.marshall{at}uphs.upenn.edu

We present a modification of technique for standard muscle flap harvest, the placement of cutaneous traction sutures. This technique allows for maximal dissection of the thoracic muscles even through minimal incisions. Through improved exposure and traction, complete dissection of the muscle bed can be performed and the tissue obtained maximized. Because more muscle bulk is obtained with this technique, the need for a second muscle may be prevented.




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