An atlas of anatomy and treatment of midclavicular
There was a 4x4 cm entrance gunshot wound on right 5th-6th-7th rib along the midclavicular
line and an exit gunshot wound on right 7th-8th-9th rib in the back.
Laparoscopy was performed by a 4 trocar technique (the first trocar was introduced inferiorly to the umbilicus, the second one was introduced inferiorly to the xiphoid process just on the left side of the upper 1/3 portion of the umbilical-xiphoid distance, the third one was introduced at the point of intersection of the umbilicus with the right anterior axillary line below the right costal arch, and the fourth one was introduced on the right midclavicular
In addition to the 5 mm umbilical optical port, two 3 mm working ports that were used in the iliac quadrant and below the last rib in the midclavicular
line were used for the laparoscopic procedure.
Subsequently, G16 intravenous angiocath inserted through the midclavicular
line at the level 2nd or third intercostal space and after penetration of parietal pleura by catheter.
Our study used preoperative anthropomorphic measurements in 126 women with hypoplastic breasts and found asymmetry of the midclavicular
to nipple distance in 54%, of the volume in 41%, and of the chest wall in 12% of the cases.
On the physical examination performed in the previous health center, there was a suture line, approximately 2 cm proximally to the superior section of the left scapula and parallel to the upper border of the scapula, with a size of approximately 4 cm in the midclavicular
The liver could be felt 3.5 cm below the costal margin on the midclavicular
line and 5.5 cm below the xiphoid.
In the anterior chest wall, we examined the fourth ICS along the midclavicular
line and the anterior and mild-axillary lines.
Placing the probe was continued along the 2nd intercostal space in the midclavicular
, anterior axillary and midaxillary line and then in the same fashion along the 3rd and 4th intercostal spaces on the left and the 2nd, 3rd, 4th and 5th intercostal spaces on the right.
Robotic left arm port was opened on the anterior axillary fossa, and right arm was opened on the 5th or 6th ICS on the midclavicular
Bilateral LNE (the largest one being 2 cm) was found in the submandibular region and the liver was palpable 3-4 cm below the right costal margin in the midclavicular