Autor: |
Sherwin Abdoli, MD, Jin Sui, MD, Kenneth Ziegler, MD, Steven Katz, MD, Walter Burnham, MD, Christian Ochoa, MD |
Jazyk: |
angličtina |
Rok vydání: |
2020 |
Předmět: |
|
Zdroj: |
Journal of Vascular Surgery Cases and Innovative Techniques, Vol 6, Iss 3, Pp 384-387 (2020) |
Druh dokumentu: |
article |
ISSN: |
2468-4287 |
DOI: |
10.1016/j.jvscit.2020.06.011 |
Popis: |
The traditional retroperitoneal approach for the anterior lumbar interbody fusion (ALIF) uses a longitudinal paramedian incision. In this study, we use a discrete periumbilical incision. A 270-degree semicircular incision is made around the umbilicus and the subcutaneous tissue is dissected radially at a 45-degree angle, creating a mound around the umbilical stalk. Once the anterior sheath is encountered, the steps of the operation converge with those of the traditional approach. In this study, 30 patients underwent a periumbilical ALIF with an average of 2.1 levels fused. Perioperative outcomes were comparable to those described in the ALIF literature. No patients experienced complications attributable to the periumbilical incision. |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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