The subcostal incision is also used for access to the liver for wedge resections; for the adrenal gland on either side; and the spleen if on the left side. When extended laterally on the right with the patient in a rotated position, the incision is used for portacaval shunts. The incision may be extended medially as an alternative to the upper midline incision. Bilateral subcostal incisions are used to access to liver for transplant and liver resections. The exposure is often helped with a vertical extension to the xyphoid. Specialized retractors such as the Olivier and some blades for the upper hand have been developed for this incision.
crouton: Chromium OS Universal Chroot Environment. crouton is a set of scripts that bundle up into an easy-to-use, Chromium OS-centric chroot generator.
A roux-based sauce. Roux /ËruË/ (also rue) is flour and fat cooked together and used as to thicken sauces. The fat is butter in French cuisine, but may be lard or vegetable oil in other cuisines. A roux is used in three of the mother sauces of classical French cooking: bechamel bÃ©chamel, sauce veloute, veloutÃ© sauce and. espagnole sauceark roux is often made with vegetable oils, which have a higher smoke point than butter, and are used in Cajun and Creole cuisine for gumbos and stews. The darker the roux, the less thickening power it has; a chocolate roux has about one-fourth the thickening power, by weight, of a white roux.