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Operative Anatomie: Thoraxwand, Flanke

descriptionPublicationkeyboard_double_arrow_right Part of book or chapter of book , Other literature type 01 Jan 2015Publisher:Springer Berlin Heidelberg
Authors: Peter Alken; K Sergio Guzmán;

doi: 10.1007/978-3-642-41168-7_242-1 , 10.1007/978-3-642-41168-7_242-2 , 10.1007/978-3-662-63400-4_242 , 10.1007/978-3-642-39940-4_242

Operative Anatomie: Thoraxwand, Flanke

Abstract

Ein transthorakaler Zugang zu den Nieren uber den Rippen kann mit oder ohne Rippenresektion und mit oder ohne Eroffnung der Pleura erfolgen. Die Rippenresektion ist nicht notwendig, um einen weiten Zugang zu etablieren. Die Pleura kann selbst bei einem Zugang uber der 10. Rippe erhalten werden, kleine Defekte sind unproblematisch zu verschliesen. Erst bei Zugangen in hoheren Interkostalraumen ist die Pleuraeroffnung zeitsparend oder eine Zwerchfellinzision notig. Beim Zugang uber die Flanke besteht die Gefahr von Nervenverletzungen mit folgender hernienartiger Bauchwandschwache.

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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