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A 5 mm myoma screw and grasping forceps were used for traction and counter traction.
The leg is placed in traction and a well-padded perineal post is applied for counter traction.
A 5 mm port is placed just below the subscapular tip to place the instruments for retraction and counter traction.
"We were told to do the counter traction this way (showing the right maneuver), put pressure on the uterus upwards, and then start retracting the placenta.
Recently, we were challenged to perform an EFTR using the ESD method and to suture a large mucosal defect using a new suturing system and mechanical counter traction device in animal models [ 87– 87].
Similar(53)
Four 5-mm trocars were positioned laterally to the rectus abdominis; the lowest of these was used, in the absence of the uterine manipulator, to push cephalad the markedly enlarged uterus to reproduce the "traction-counter traction" effect and obtain both the displacement of the lower uterine segment aside from ureters and elevation of uterine arteries alongside the cervix.
Traction and counter-traction may be effective during the initial part of the dissection.
Several counter-traction techniques have been attempted to facilitate ESD, but a standard procedure remains to be established.
Once the cleavage plane is identified, use gentle traction and counter-traction with appropriate instruments to dissect the cyst capsule from the ovarian parenchyma.
In order to reduce inferior glenohumeral dislocation, it is recommended a traction counter-traction maneuver under sedation followed by immobilization in a Desault bandage for at least 2 weeks.
At first, the tips of the wires were directed radially and once reached the fracture site; the distal fragment was manipulated while traction was applied in the axis of the second and third digits and counter-traction on the upper arm.
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