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HAROLD I. MILLER, M.D.

AMA Arch Surg. 1952;65(6):876-878.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

STERNOTOMY has been used by a number of people, including Blalock¹ and Clagett² for thymectomy and Holman³ for pericardiectomy. As far as is known, however, Wangensteen⁴ is the first to have used it for upper abdominal surgery. Combined with a midline supraumbilical incision, Wangensteen states that it has come to be the incision of choice at the University of Minnesota Clinic in operations on the stomach, liver, diaphragm, and spleen. In the cases in which I have used it, it has afforded unusually good exposure with a very benign postoperative course.

TECHNIQUE

A midline incision is made from the xiphoid to just above the umbilicus and the peritoneal cavity entered. Thorough exploration is performed, and it is determined whether the addition of sternotomy is necessary to perform the surgical procedure at hand. If so, a small incision is made in the tissues just beneath the xiphoid . . . [Full Text PDF of this Article]

Author Affiliations
BOSTON

Dr. Miller is Instructor in Surgery, Boston University School of Medicine, and Assistant to Visiting Surgeons, Boston City Hospital.; From the Department of Surgery and the Third Surgical Service, Boston University School of Medicine, and the Boston City Hospital.

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