Abstract
Make a standard skin incision over the entire length of the left 11th rib. Extend the incision from the rib tip medioinferiorly to the edge of the rectus sheath (Fig. 20.1). You can expand the incision by curving the posterior arm cephalad to allow for removal of additional rib and by extending the anterior arm down the abdominal wall vertically for exposure of more of the lumbar spine retroperitoneally.
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References
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Watkins, R.G. (2015). Eleventh Rib Approach. In: Watkins, III, R., Watkins, IV, R. (eds) Surgical Approaches to the Spine. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2465-3_20
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DOI: https://doi.org/10.1007/978-1-4939-2465-3_20
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