As girth tends to increase with both age and weight, it was not surprising that the xiphisternum
was closer to the steering wheel as age and weight increased.
The abdomen was explored via a midline incision extending from the xiphisternum
to the symphysis pubis.
 Adequate hydration of patient to prevent dehydration and blood reservation to check hypovolaemia prior to start of the surgery, the latter involving an unconventional manner of patient positioning due to impaled foreign body and a full length midline incision from xiphisternum
to pubic symphysis significantly helps a thorough and safe wound exploration and repair of damaged structures.[3,7] Decision to take a CT of the abdomen is strictly based on the haemodynamic status, clinical and laboratory findings of the patient; as such it has a specificity of 97%, accuracy of 82% and sensitivity rate of 64%, but in unstable patients FAST (Focused Abdominal Sonography in Trauma) is more conducive.
A 22-gauge Chiba needle is advanced towards a marker placed on the xiphisternum
, and contrast is injected as the cannula is withdrawn.
Vertically elliptical incision from suprasternal space to the xiphisternum
inferiorly, swelling was excised in toto with sternal origins of both pectoralis major along with the medial ends of the clavicle and first six costal cartilages and a portion of the anterior parietal pericardium.
Following skin closure, bilateral oblique subcostal transversus abdominis plane injection was performed with linear probe that was placed in the midline of the abdomen 2cm below the xiphisternum
and moved laterally along the subcostal margin.
MODE OF DISSECTION: An incision is made vertically extending from xiphisternum
to pubic symphysis and abdomen is opened.
We present a case of multiple fibroid complicating pregnancy with 1 huge sub-serosal pedunculated fibroid extending upto xiphisternum
that necessitated myomectomy at 18 to 20 weeks gestation.
Cardiac specimens were dissected out from the cadavers after giving two longitudinal incisions in the right and left parasternal region extending up to sternoclavicular joints and joining them with two transverse incisions above and below the suprasternal notch and xiphisternum
* Abdomen distented up to xiphisternum
, ~ 38 weeks size mass felt.
Penetrating wound was present about 2 cm below the xiphisternum
. No evisceration was present.
Transverse incision from xiphisternum
to midaxillary line.