The Extensile Axillary Approach for Resection of a Large Schwannoma of the Brachial Plexus

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The Extensile Axillary Approach for Resection of a Large Schwannoma of the Brachial Plexus

By Mount Sinai FEATURING James Wittig

2,167 views

September 2, 2008

A utilitarian shoulder girdle incision has been described for resecting tumors around the shoulder girdle, ...
read more ↘ including axillary tumors. The incision allows for safe extensile exposure of the brachial plexus and axillary blood vessels required for safe and reliable resection. This video demonstrates a large Schwannoma of the brachial plexus that was resected with this approach. The key to the procedure involves releasing the pectoralis major muscle from its humeral insertion and the strap muscles from their coracoid origins. A meticulous repair of these muscles is performed at the conclusion of the procedure. Patients return to normal function. This procedure can be adopted for treating any large tumor arising in the axilla, including sarcomas and metastases.
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