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...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-09-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428720300976 |
| _version_ | 1818135509227012096 |
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| author | Sherwin Abdoli, MD Jin Sui, MD Kenneth Ziegler, MD Steven Katz, MD Walter Burnham, MD Christian Ochoa, MD |
| author_facet | Sherwin Abdoli, MD Jin Sui, MD Kenneth Ziegler, MD Steven Katz, MD Walter Burnham, MD Christian Ochoa, MD |
| author_sort | Sherwin Abdoli, MD |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-11T09:25:38Z |
| format | Article |
| id | doaj.art-ded7d75589ff473dbc1573e14257b317 |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-12-11T09:25:38Z |
| publishDate | 2020-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-ded7d75589ff473dbc1573e14257b3172022-12-22T01:13:09ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872020-09-0163384387The periumbilical incision for anterior lumbar interbody fusionsSherwin Abdoli, MD0Jin Sui, MD1Kenneth Ziegler, MD2Steven Katz, MD3Walter Burnham, MD4Christian Ochoa, MD5Department of Surgery, Huntington Memorial Hospital, Pasadena, CalifDepartment of Surgery, Huntington Memorial Hospital, Pasadena, CalifDivision of Vascular Surgery and Endovascular Therapy, University of Southern California, Los Angeles, CalifDepartment of Surgery, Huntington Memorial Hospital, Pasadena, Calif; Division of Vascular Surgery and Endovascular Therapy, University of Southern California, Los Angeles, CalifDepartment of Surgery, Huntington Memorial Hospital, Pasadena, CalifDivision of Vascular Surgery and Endovascular Therapy, University of Southern California, Los Angeles, Calif; Correspondence: Christian J. Ochoa, MD, Assistant Professor of Surgery, Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Keck School of Medicine of USC, 1520 San Pablo St, Ste 4300, Los Angeles, CA 90033The 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.http://www.sciencedirect.com/science/article/pii/S2468428720300976Spinal surgeryExposureMinimally invasive surgery |
| spellingShingle | Sherwin Abdoli, MD Jin Sui, MD Kenneth Ziegler, MD Steven Katz, MD Walter Burnham, MD Christian Ochoa, MD The periumbilical incision for anterior lumbar interbody fusions Journal of Vascular Surgery Cases and Innovative Techniques Spinal surgery Exposure Minimally invasive surgery |
| 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 | Spinal surgery Exposure Minimally invasive surgery |
| url | http://www.sciencedirect.com/science/article/pii/S2468428720300976 |
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