N°268 - Book 2 - November 2017
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Bikini and Hueter approach
By Frédéric Laude in category TECHNIQUE
Clinique du sport, Paris / [email protected]
centimetres toward the lateral surface of the thigh in relation to the Hueter line, which runs from the anterior superior iliac spine to the head of the fibula.
It is perfectly possible to carry out a conventional Hueter using a horizontal approach, which merges better with the inguinal creases and is likely to prove particularly interesting in obese patients. The term bikini incision will be used here, as in theory it can be hidden by the famous swimming costume, then becoming practically invisible.
In an overweight person, the need for invisibility is not the prime motivator that will spur us on to complicate our lives. Unfortunately, in patients with an unmentionable body mass index (BMI), there are quite often skinfolds exactly where we would wish to make the classic incision.
Wielding a scalpel in the depths of a skinfold is never a great idea, as scar formation is never guaranteed in ‘valleys’ like this. Skinfolds are a reservoir of germs that are difficult to eradicate. Worse still, they are often forgotten when our patients are washing, and they play host to flora and even fauna, which is not exactly compatible with prosthetic surgery. Not cutting vertically through a suspect fold when making an incision is therefore a logical solution and will prevent a surgeon’s...
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