Axillary Approach
Axillary Approach - Related Videos
05:10
Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
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Cited by 3 •
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This protocol presents the procedure for conducting thyroidectomy using the gasless endoscopic thyroidectomy trans-axillary approach (GETTA).
11:49
Single-port Non-liposuction Endoscopic Axillary Lymph Node Dissection in Breast Cancer Surgery
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This study describes a standardized surgical procedure for single-port endoscopic axillary lymph node dissection without liposuction in breast cancer. Indicated for patients with biopsy-confirmed nodal metastasis or positive sentinel lymph nodes, the technique emphasizes preservation of critical structures, particularly the intercostobrachial nerve, to reduce postoperative morbidity and optimize functional recovery.
08:27
A New Hybrid Quantitative Evaluation Model for Axillary Junctional Hemorrhage in Swine
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Cited by 1 •
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This study presents a hybrid quantitative model for axillary junctional hemorrhage in swine, enhancing pre-hospital hemostatic intervention evaluation.
01:20
Frustration and Conflict: Approach-Approach, Approach-Avoidance
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2025
Frustration occurs when people are obstructed or prevented from achieving a desired goal or fulfilling a perceived need. For example, when someone's input is ignored in a discussion, it can lead to feelings of frustration. Conflict, however, arises from opposing interests, goals, or actions. Conflicts can take various forms based on the nature of these opposing desires or goals. One common type of conflict is the Approach–Approach Conflict. In this case, a person faces two desirable options,...
05:21
General Approach to the Physical Exam
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2023
Source: Jaideep S. Talwalkar, MD, Internal Medicine and Pediatrics, Yale School of Medicine, New Haven, CT The examination of the body is fundamental to the practice of medicine. Since the Roman Empire, physicians have described the connection between alterations in function of specific parts of the body and specific disease states and have sought to further scientific understanding to improve bedside diagnosis. However, in this modern age of increasing technology within medical diagnostics, it...
FAQs
Anatomical landmarks help clinicians enter the axillary space through an intended route and orient themselves among the shoulder, upper-limb, and neurovascular structures. Tissue planes provide additional guidance as the procedure progresses. Using both landmarks and planes supports accurate access while helping the clinician recognize nearby arteries, veins, nerves, lymph nodes, and adjacent tissues that require protection.
These structures occupy the neurovascular region targeted or traversed during some axillary procedures. Identifying them allows clinicians to distinguish the intended access area from structures that must be preserved. Careful recognition and protection of the vessels and brachial plexus can improve procedural precision and help reduce complications during regional anesthesia, vascular work, or other interventions.
Positioning access through the armpit can limit the visibility of an incision compared with access through more exposed regions. At the same time, the route provides entry toward structures of the shoulder, upper limb, and surrounding axillary tissues. This balance makes the approach relevant when clinicians must consider both anatomical reach and the location of visible incisions.
Planning depends on the specific structures that must be reached and their relationship within the axillary space. Clinicians consider the shoulder and upper-limb anatomy, the neurovascular region, lymph nodes, and adjacent tissues before selecting a route. Patient-specific treatment planning is important because the desired access and the structures requiring protection can vary between procedures.
A clinician first uses anatomical landmarks to plan entry into the axillary space, then advances through the relevant tissue planes toward the intended target. During access, the axillary artery, vein, brachial plexus, lymph nodes, or adjacent tissues may need identification, depending on the procedure. The route is adjusted to reach the target while protecting nearby nerves and vessels.
This route may be selected for regional anesthesia, vascular procedures, orthopedic procedures, and selected interventions involving the breast or axilla. Its usefulness depends on whether the target lies within reach of the axillary space and whether nearby neurovascular structures can be safely identified. The approach therefore supports several types of treatment rather than one single procedure.
Accurate landmarking and recognition of tissue planes can improve procedural precision and guide safer access to the intended anatomy. Protecting nerves and vessels helps reduce the risk of complications, while awareness of lymph nodes and adjacent tissues supports more informed planning for breast, axillary, vascular, orthopedic, and regional anesthesia procedures. These considerations contribute to patient-specific treatment decisions.