Deep Dissection and Hemostasis

3 CO

■ Deep dissection is carried out using the Metzenbaum dissecting scissors by pulling the cutaneous/fatty flap caudally. Bleeding is stopped using bipolar or monopolar tweezers. If dissection is carried out in the correct layer, precisely above the thigh fascia, no vessel ligatures are required.

■ Deep dissection is taken as far as was drawn on the day before the operation (dissection area) and discussed with the patient.

Only in rare cases do we carry out a vertical incision in addition to the inguinal incision, since most patients when they are given detailed information about the operation have problems with the prospect of what is usually a visible scar. If, however, there is very loose skin as far down as the knee, this incision line cannot be avoided.

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