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The periumbilical incision for anterior lumbar interbody fusions
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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7371723/ https://www.ncbi.nlm.nih.gov/pubmed/32715175 http://dx.doi.org/10.1016/j.jvscit.2020.06.011 |
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author | Abdoli, Sherwin Sui, Jin Ziegler, Kenneth Katz, Steven Burnham, Walter Ochoa, Christian |
author_facet | Abdoli, Sherwin Sui, Jin Ziegler, Kenneth Katz, Steven Burnham, Walter Ochoa, Christian |
author_sort | Abdoli, Sherwin |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-7371723 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-73717232020-07-23 The periumbilical incision for anterior lumbar interbody fusions Abdoli, Sherwin Sui, Jin Ziegler, Kenneth Katz, Steven Burnham, Walter Ochoa, Christian J Vasc Surg Cases Innov Tech Innovative technique 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. Elsevier 2020-06-25 /pmc/articles/PMC7371723/ /pubmed/32715175 http://dx.doi.org/10.1016/j.jvscit.2020.06.011 Text en © 2020 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Innovative technique Abdoli, Sherwin Sui, Jin Ziegler, Kenneth Katz, Steven Burnham, Walter Ochoa, Christian The periumbilical incision for anterior lumbar interbody fusions |
title | The periumbilical incision for anterior lumbar interbody fusions |
title_full | The periumbilical incision for anterior lumbar interbody fusions |
title_fullStr | The periumbilical incision for anterior lumbar interbody fusions |
title_full_unstemmed | The periumbilical incision for anterior lumbar interbody fusions |
title_short | The periumbilical incision for anterior lumbar interbody fusions |
title_sort | periumbilical incision for anterior lumbar interbody fusions |
topic | Innovative technique |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7371723/ https://www.ncbi.nlm.nih.gov/pubmed/32715175 http://dx.doi.org/10.1016/j.jvscit.2020.06.011 |
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