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During gastric conduit resection, dense adhesions around the conduit, particularly around the esophagogastrostomy in the upper mediastinum [11], make dissection difficult and a tracheobronchial injury a possibility.
Although some design changes have been implemented in this device to make dissection feasible, transection of the coagulated tissue is usually accomplished with a second device, such as scissors [14] or ultrasonic dissector [13].
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Ford has long made dissection of a certain unsavoriness part of his skill as a writer he can parse spoiled masculinity like the finest of feminists most famously in the widely anthologized short stories "Rock Springs" and "Communist".
Ford has long made dissection of a certain unsavoriness part of his skill as a writer — he can parse spoiled masculinity like the finest of feminists — most famously in the widely anthologized short stories "Rock Springs" and "Communist".
By Jon Michaud May 11 , 2012In her review of Richard Ford's new novel, "Canada," Lorrie Moore writes: Ford has long made dissection of a certain unsavoriness part of his skill as a writer — he can parse spoiled masculinity like the finest of feminists — most famously in the widely anthologized short stories "Rock Springs" and "Communist".
As a result, these lymph nodes often become adherent to major vessels, making dissection difficult.
A previous report indicated that epidural anesthesia can provide optimal muscle relaxation, which makes dissection and placement of the prosthesis easier to perform.
Very early stages were omitted, as olive flower buds were completely covered by solid trichomes which made dissection very difficult without compromising the integrity of anthers and gynoecium, and therefore altering the presence of ROS/NO.
In this context, we would not consider radiofrequency-assisted metastasectomy, as advocated by Elias et al. Radiofrequency ablation can be associated with distortion of the hepatic parenchyma along the course of the major vessel, thereby making dissection along this plane more difficult.
The challenge of endoscopic neck surgery is to create an adequate working cavity to make surgical dissection reliable.
This results in dense, adherent connective tissue which may compress and obscure critical central neck compartment structures and make capsular dissection challenging.
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