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However, the most suitable operative procedure may need to be determined by intraoperative findings because of the unusual anatomy in such patients.
This procedure may need a surgical approach that depends on the actual organ to be implanted with the tumour.
The effect is generally complete within 30 min, but the procedure may need to be readministered if met-Hb reaccumulates.
The procedure may need to be repeated frequently, however, and may thus cause some discomfort to the patient and an increased risk of complications associated with repeated puncture.
If the patient desires further correction of the wrinkle, the same procedure may need to be repeated until a satisfactory result is obtained (Fig. 7).
For very large verrucas, the procedure may need to be repeated several times before the verruca is completely removed.
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For more complex systems, more comprehensive procedures may need to be developed, documented and utilized.
Flawed practices and procedures may need to be "unlearned" (Rushmer and Davies, 2004), and transformative experiences may bring about "transformative unlearning" (Macdonald, 2002).
As we talked of the shelters full of aspiring asylum seekers just on the other side of the wall, in Tijuana, and of the overtaxed ports of entry where lines stretched for weeks, they allowed that the laws and procedures may need to be changed.
Travel procedures may need an overhaul, especially for staffers headed to certain Third World nations.
Screening procedures may need to be tailored to individual chemicals.
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