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Fundamentals of Dissection

  • Neal S. McCall
  • Harish Lavu
Chapter

Abstract

Appropriate surgical technique requires a mastery of the basic skills of surgical dissection. This chapter provides a brief overview of considerations of lighting, positioning, and preoperative imaging as they relate to surgical dissection. It discusses basic aspects of dissection, such as the differences between sharp and blunt dissection techniques and their applications, as well as the use of proper traction and counter-traction during dissection. More advanced, instrumental methods of dissection, encompassing electrosurgery and water dissection, are reviewed. Approaches to dissection of more challenging tissue planes, including those of neoplastic and inflamed tissues, are explored as well. Finally, the chapter ends with a discussion of cognitive biases, how they can relate to surgical dissection, and the importance of a surgeon’s awareness of them.

Keywords

Dissection Surgery Cognitive bias 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of SurgerySidney Kimmel Medical College, Thomas Jefferson UniversityPhiladelphiaUSA
  2. 2.Jefferson Pancreas, Biliary and Related Cancer, Center and the Department of SurgeryThomas Jefferson UniversityPhiladelphiaUSA
  3. 3.Sidney Kimmel Medical CollegeThomas Jefferson UniversityPhiladelphiaUSA

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