Axillary Lymph Node Dissection

With the patient supine, a pad is placed behind the shoulder. The arm and shoulder are prepped circumferentially from mid-forearm to midline anteriorly and beyond the edge of latissimus posteriorly. The forearm is wrapped so that the arm can be manipulated and the arm is placed on a single armboard so that surgeon and first assistant can stand on either side of it. The second assistant stands on the opposite side of the table where the opposite arm is tucked. A transverse incision is made below the axillary hairline, extending a few centimeters over the edges of pectoralis and latissimus.

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