conclusion safety-related parameters of posterolateral and posterior approaches in supine thoracentesis are far better than that of the conventional lateral approach. background in patients who have difficulty sitting, thoracentesis is attempted in a supine position via lateral approach. recently, a new table has been designed for supine thoracentesis. this table has gaps that allow access to t...

abstract  background: spondylolysis and spondylolisthesis can be associated with significant  low back pain, especially in physically active adolescents. non-operative management  is usually successful in improving symptoms, but surgical intervention is  occasionally required. the aim of this study was to determine the effect of in situ posterolateral  fusion in the treatment of refractory case...

The lateral ligament complex is the primary constraint to posterolateral rotatory laxity of the elbow, and if it is disrupted during surgery, posterolateral instability may ensue. The Wrightington approach to the head of the radius involves osteotomising the ulnar insertion of this ligament, rather than incising through it as in the classic posterolateral (Kocher) approach. In this biomechanica...

Thymic epithelial neoplasms are commonly aetiology of the anterior mediastinum masses in adults. It represents 20–30% of all mediastinal tumours in adults. Ectopic thymomas usually affect the neck, mediastinal compartments, lung, and pleura, arising from aberrant thymic tissue. For giant thymoma, there is still no consensus on the surgical approach.  We herein report a patient with a giant thym...

This study aimed to investigate the surgical techniques and the clinical efficacy of a modified Frosch approach in the treatment of posterolateral tibial plateau fractures. The standard Frosch approach was performed on 5 fresh-frozen cadavers. The mean bony surface area was measured upon adequate exposure of the proximal tibial cortex. Lateral proximal tibial plate and posterolateral T-plates w...

OBJECTIVE Although the anterior approach is normally used for elective laparoscopic splenectomy (LS), the posterolateral approach may be superior. We have retrospectively compared the effectiveness and safety of these approaches in patients with non-severe splenomegaly scheduled for elective total LS. METHODS Patients with surgical spleen disorders scheduled for elective LS between March 2005...

We determined the effect of the surgical approach on perfusion of the femoral head during hip resurfacing arthroplasty by measuring the concentration of cefuroxime in bone samples from the femoral head. A total of 20 operations were performed through either a transgluteal or an extended posterolateral approach. The concentration of cefuroxime in bone was significantly greater when using the tra...