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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).
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The Kocher-Langenbeck (K-L) approach [1] to the acetabulum requires an extensive deep dissection.
The deep dissection revealed that two pins had partially exited bone and entered the sciatic notch just medial to its apex.
Our idea was to initially accomplish deep dissection of loose connective tissue and then to further advance into the scar tissue under endoscopic guidance.
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.
In addition to providing the orthopaedic surgeon with another option for surgical approach, the pubic midline incision and deep dissection are familiar to urological, vascular, gynecological, and general surgeons and provides excellent access to the bladder and bladder neck for repair of associated urologic injuries.
This study included 121 patients (70 women and 51 men) who underwent therapeutic combined superficial and deep dissection (CGD) and 48 patients (32 women and 16 men) who underwent therapeutic superficial dissection (SGD) for palpable melanoma metastases to the groin.
If the medial aspect of the trochlea could not be visualized adequately from the lateral exposure, the deep dissection was made medially, between the flexor-pronator muscles, leaving the flexor carpi ulnaris attached to the humerus.
The possible additional utility of ultrasound guidance is unclear if deep dissection is performed before the tracheal puncture or if bronchoscopy is used during the needle puncture to guide the needle.
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