c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Axillary Lymph Node Dissection: 7

A D V E R T I S E M E N T

   
 

In the course of freeing the full length of the long thoracic nerve from the medial surface of the fat pad, the thoracic side of the intercostobrachial nerve is found and usually must be divided since it goes through the specimen. Occasionally it can be preserved. The subscapular vessels become the thoracodorsal vessels after giving off the circumflex scapular branches. The thoracodorsals give a branch to the serratus which is encountered and divided in the final lateral mobilization of the fat pad. If the lateral end of the intercostobrachial nerve has not already been divided, it is separated at this point. The remaining attachments are divided above the thoracodorsal vessels and the specimen removed. After careful hemostasis, the wound is closed in layers over a 10 mm closed suction drain brought out through a separate stab wound.    

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This page was last modified on 6/20/1999.