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The Kocher-Langenbeck (K-L) approach [1] to the acetabulum requires an extensive deep dissection.
For example, a superficial wound catheter may be insufficient for surgery that also involves extensive deep dissection of painful structures.
Our idea was to initially accomplish deep dissection of loose connective tissue and then to further advance into the scar tissue under endoscopic guidance.
The deep dissection revealed that two pins had partially exited bone and entered the sciatic notch just medial to its apex.
Together, we believed that the deep dissection of the E. coli FadR regulatory protein provided a new glimpse of FadR-DNA interplay/crosstalk in the context of lipid metabolism.
Under brachial plexus block an S italic skin incision was performed on the dorso-ulnar surface of the wrist; the deep dissection showed a circumscribed and well-cleavable lesion like a tenosynovitis of the extensor carpi ulnaris (ECU) without a pedicle joint that was removed en bloc.
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To generate enough space for deep dissections, blood vessel branches of the left superficial cervical artery and vein that coursed caudo-laterally to the suprascapular regions were ligated and transected.
In this modified approach, instead of creating a plane between the tensor fascia lata (TFL) and the sartorius, the incision is based over the medial substance of the TFL to protect the lateral cuteneous nerve of thigh; the deeper dissection then reflects the TFL laterally to reach the plane between the TFL and sartorius.
Figures 1B, 4B and 7B show ventral views of the stratigraphically dissected heads: 1) after removal of musculus constrictor colli and musculus intermandibularis, and, 2) at a deeper dissection plane (the deeper dissection plane is marked on the figure).
Four coauthors performed the majority of LNDs assessed for this study (A.N.V.G., J.H.D.W., A.M.M.E. and C.V .. Ilioinguinal dissections or deep groin dissections included dissection of the femoral-inguinal and external iliac nodes up to the common iliac artery (if necessary up to the aorta bifurcation) and dissection of the obturator nodes.
If additional positive lymph nodes were found in the resection specimen, deep groin dissection (iliac and obturator nodal dissection) was performed.
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