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A thoracotomy is a surgical procedure to gain access into the pleural space of the chest. [1] It is performed by surgeons (emergency physicians or paramedics under certain circumstances) to gain access to the thoracic organs, most commonly the heart, the lungs, or the esophagus, or for access to the thoracic aorta or the anterior spine (the latter may be necessary to access tumors in the spine).
A resuscitative thoracotomy is indicated when severe injuries within the thoracic cavity (such as hemorrhage) prevent the physiologic functions needed to sustain life.The injury may also affect a specific organ such as the heart, which can develop an air embolism or a cardiac tamponade (which prevents the heart from beating properly).
Intrathoracic pressure is measured by using a transducer held in such a way over the body that an actuator engages the soft tissue that is located above the suprasternal notch. Arcot J. Chandrasekhar, MD of Loyola University , Chicago , is the author of an evaluative test for the aorta using the suprasternal notch. [ 4 ]
The technical name is a thoracotomy. A patient comes in unconscious, maybe in cardiac arrest, and Goldberg has to get into the cavity to see what is going on. With a scalpel, she makes an incision below the nipple and cuts 6 to 10 inches down the torso, through skin, through the layer of fatty tissue, through the muscles.
Maylard incision – A variation of Pfannenstiel incision is the Maylard incision in which the rectus abdominis muscles are sectioned transversally to permit wider access to the pelvis. [6] The Maylard incision is also called the Mackenrodt incision. The incision in the rectus muscles is performed with the help of cautery, scalpel or surgical ...
An example is in the 2008 horror film, Saw V, in which a character being drowned from the neck up performs a manual tracheotomy, stabbing his neck with a pen to create an airway to breathe through. The most common procedure is a cricothyrotomy (or "crike"), which is an incision through the skin and cricothyroid membrane. This is often confused ...
Isabella Strahan is living life to the fullest over a year after being diagnosed and treated for a malignant brain tumor.. The model, 20, shared photos of herself and her sister Sophia from The ...
Phlebotomy – An incision in a vein with a needle; Pulpotomy – Removal of a portion of the pulp, including the diseased aspect; Radial keratotomy – a refractive surgical procedure to correct myopia; Sphincterotomy – Treating mucosal fissures from the anal canal/sphincter; Thoracotomy – Incision into the pleural space of the chest