JaypeeDigital | Vertical midline above umbilicus for cancer surgery

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Vertical midline above umbilicus for cancer surgery

Jaypee’s Video Atlas of Surgical Techniques in Gynecology and Obstetrics

by Shalini Rajaram

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Using either instrument, the principle is to make long smooth strokes through the subcutaneous fat to the fascia. The subcutaneous fat should not be dissected from the fascia because this creates unnecessary dead space. The midline may not be evident in patients with previous abdominal surgery. Identifying where the rectus muscles diverge around the umbilicus or locating the pyramidalis muscles assists in identifying the midline.

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Vertical midline above umbilicus for cancer surgery

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