Three helpful techniques for facilitating abdominal procedures, in particular for surgery in the obese

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Abstract

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.

Original languageEnglish (US)
Pages (from-to)63-64
Number of pages2
JournalAmerican journal of surgery
Volume175
Issue number1
DOIs
StatePublished - 1998

Bibliographical note

Copyright:
Copyright 2007 Elsevier B.V., All rights reserved.

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