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.
Unlike the traditional "U" technique, (1) blunt dissection
opens a path to the implants, (2) the grasp is not just at the tip but can be anywhere along the shaft of the implant, and (3) a technique similar to NSV dissection is used to free the implant from its tissue envelope.
Both anterior and posterolateral incisions were adopted, then blunt dissection
was performed carefully to avoid injury to the superficial peroneal nerve and sural nerve.
The rectal wall was then meticulously dissected using dilator to guide the direction and plane from the posterior vaginal wall anteriorly with sharp and blunt dissection
An elliptical incision was given on swollen part to remove the necrosed tissue and adhesions and rumen was made free from surrounding muscles by blunt dissection
and repaired by two rows of inverting sutures using chromic catgut no.
Under general anesthesia, the adhesions of labia majora were separated with blunt dissection
An atraumatic curved tip that can be used for blunt dissection
and to manipulate tissues while positioning the reload before firing.
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.
Further blunt dissection
around the pedicle may be required to improve mobilization (figure 2, A and B).
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.
Operative injury of the large or small bowel often occurs during sharp or blunt dissection
, performed during laparoscopy using accessory mechanical or energy devices.
The lateral edges of the mass were freed using blunt dissection
, and the body wall was entered lateral to the mass on each side.
It continues with the laparoscopic radical excision of deep pelvic endometriosis using traditional surgical techniques such as blunt dissection
and bipolar coagulation.