Question
In trauma of body part shown, best approach is ?
A. 1.
B. 2.
C. 3.
D. 4.
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Correct Answer » D Explanation |
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The trauma of body part shown in the picture above represents Thorax trauma.
For thorax trauma the best approach is Anterolateral thoracotomy.
The anterolateral thoracotomy provides excellent access to either upper lobe, the right middle lobe, and the anterior hila. It can be extended across the sternum into the opposite chest (clamshell incision). Anterolateral thoracotomy is our preferred approach for unilateral lung transplantation. Bilateral sequential lung transplantation can usually be performed through bilateral anterolateral thoracotomy without sternal division. This incision has the advantage of allowing the patient to remain supine. Cosmetic results are superior to a median sternotomy or posterolateral thoracotomy. The exposure to the posterior pleural space is more limited than with a posterolateral thoracotomy. For procedures requiring excellent posterior exposure, this incision should be avoided.