My surgeon says he uses the ‘anterior’ approach for minimally invasive muscle involvement from the frontal area. Some hospitals send you home the same day, but he likes to keep patients two nights in the hospital to be sure no infections or complications. My best friend in Honolulu showed me his scar on the side, very long and halfway up his rib cage. Looks like they went in from the top down. Long scar as they have to pound in a long insert into the femur bone. My surgeon, in contrast, showed me how he would have to lever my leg out sideways to do that. So there are several approaches, as you say. My surgeon is a fairly young guy, board certified and very efficient. He says 2 or 2-1/2 hour surgery. By contrast, when I had my colon resection I was in OR for 5 hours.
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