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Under general anesthesia (as described above), the skin over the VAP was incised to expose the VAP and allow blunt dissection to free it from the surrounding fascia.
It is important to make sure that dissection of the endopelvic fascia is performed sharply until a relatively avascular and areolar space is created; at this time, blunt dissection with the surgeon's finger can be easily accomplished.
Over the past number of years, however, on six separate occasions following blunt dissection, I was unable to pull out the tunnelled, cuffed internal jugular (IJ) catheter.
By using the open technique (an incision on the skin that will admit 2 fingers, and blunt dissection of the muscles and pleura without use of a trocar), a finger sweep of the chest cavity will avoid penetration of any herniated abdominal organs or penetration of lung adherent to the chest wall.
During surgery, grayish necrotic fascia, extensive subcutaneous tissue necrosis, loss of resistance of the normally adherent superficial fascia to blunt dissection, and foul-smelling "dishwater" pus were noted.
GSI's SPACEMAKER tissue dissection systems, based on the company's patented balloon technology, rapidly and gently create surgical working spaces by separating natural tissue planes without resorting to blunt dissection used in conventional open surgery or minimally invasive surgery conducted outside of a natural body cavity.
Its multifunctional design also provides for blunt dissection and an enhanced experience for the surgeon, especially in confined surgical spaces.
Starting the procedure at the vesical-prostatic junction (after the dissection of vas deferens, seminal vesicles and Denonvillier's fascia), we found that the blunt dissection of the posterior wall of the prostate can be better controlled until the apex of the prostate is reached.
A 2 cm right submandibular skin incision was made down to the subplatysmal layer, followed by blunt dissection towards the right submandibular fossa.
The paravesical and pararectal spaces are then developed by retracting the umbilical ligament (the superior vesicle artery) medially and performing blunt dissection between this artery and the pelvic side wall.
14) Likewise, Oko et al found that harmonic scalpel patients had significantly better dietary scores than did blunt dissection patients on postoperative days 1, 5, 7, and 9.
The lateral edges of the mass were freed using blunt dissection, and the body wall was entered lateral to the mass on each side.