TY - JOUR
T1 - Three helpful techniques for facilitating abdominal procedures, in particular for surgery in the obese
AU - Buchwald, H.
N1 - Copyright:
Copyright 2007 Elsevier B.V., All rights reserved.
PY - 1998
Y1 - 1998
N2 - Three helpful techniques for facilitating abdominal procedures, in particular in the obese, are presented. Midline abdominal exposure is aided by the manual separation of the subcutaneous fat and Scarpa's fascia by a lateral tearing motion simultaneously performed from opposite sides of the table. Exposure of the upper abdomen is best achieved by utilization of a fixed-support retractor system placed with the patient in the Trendelenburg position, followed by positioning the patient in the reverse Trendelenburg position for the conduct of the operation. Ventral hernia repair is promoted when the three mobile layers of anterior rectus sheath, rectus muscle, and posterior rectus sheath are approximated with a continuous suture to create a neo-linea alba.
AB - Three helpful techniques for facilitating abdominal procedures, in particular in the obese, are presented. Midline abdominal exposure is aided by the manual separation of the subcutaneous fat and Scarpa's fascia by a lateral tearing motion simultaneously performed from opposite sides of the table. Exposure of the upper abdomen is best achieved by utilization of a fixed-support retractor system placed with the patient in the Trendelenburg position, followed by positioning the patient in the reverse Trendelenburg position for the conduct of the operation. Ventral hernia repair is promoted when the three mobile layers of anterior rectus sheath, rectus muscle, and posterior rectus sheath are approximated with a continuous suture to create a neo-linea alba.
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U2 - 10.1016/S0002-9610(97)00233-X
DO - 10.1016/S0002-9610(97)00233-X
M3 - Article
C2 - 9445243
AN - SCOPUS:0031984581
SN - 0002-9610
VL - 175
SP - 63
EP - 64
JO - American journal of surgery
JF - American journal of surgery
IS - 1
ER -