scalenotomy

noun
sca·le·not·o·my | \ ˌskā-lə-ˈnät-ə-mē \
variants: also scaleniotomy \ˌskā-lē-nē-ˈät- \
plural scalenotomies

Medical Definition of scalenotomy 

: surgical severing of one or more scalenus muscles near their insertion on the ribs

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occurring twice a year or every two years

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