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Uptodate Reference Title
Median sternotomy
Median sternotomy
For a midline sternotomy, the incision is made in the anterior chest from the sternal notch to the xiphoid process. At each end of the incision, the tissue is bluntly dissected to access the retrosternal space. While the anesthesiologist holds ventilation, the sternum is divided using a sternal saw, or alternatively, the sternum can be divided using a Lebsche knife.