Intel Core 2 Duo E7200 Video Driver Download
and software. All hardware was tested prior to participation.
Ethics {#Sec7}
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This study was conducted according to the guidelines of the Helsinki Declaration. According to our University Medical Center institutional review board, this type of study does not require ethical approval. We will report any adverse events that occur during the study.
Randomization {#Sec8}
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Eligible patients will be randomized to receive a femoral or axillary approach.
Randomization will be performed with a pre-generated stratified block randomization list created by an independent statistician using the web-based software R 3.1.1 () and randomization will be stratified according to study center (2 strata), risk factors (0 and 1 or 2, according to the ASA score) and surgeon (2 strata).
The allocation sequence will be concealed from all investigators enrolling the patients until the time of their inclusion in the study.
Interventions {#Sec9}
We will use the same surgical technique in both the femoral and the axillary approach, according to the anatomical characteristics of the shoulder (Figure [2](#Fig2){ref-type="fig"}).Figure 2**Description of the surgical techniques and post-operative treatment in the study.**
Anesthesia {#Sec10}
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General anesthesia will be performed in all patients, using double lumen endobronchial tubes and placement of a fiberoptic bronchoscope.
Surgical techniques {#Sec11}
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In a transverse incision placed at the level of the inferior angle of the scapula, a cutaneous stay suture is positioned in the area of the musculocutaneous nerve, next to the lateral border of the pectoralis major muscle.
An incision of the fascia is then made and dissection of the subscapularis and the latissimus dorsi muscles is performed. The tendinous insertion of the subscapularis muscle is then detached from the lesser tuberosity and the retractor is detached from the humerus.
The axillary incision is made according to the anatomical characteristics of the shoulder and starts from a point 2 cm lateral and 1 cm anterior to the anterior border of the coracoid process. The anterior border of the deltoid muscle is dissected,
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