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The Saline Ballooning Method for Peritoneal Dissection During Laparoscopic Herniorrhaphy

Masaaki Oka, MD; Kazuhisa Hiwaki, MD; Kohichiro Takao, MD; Norio Iizuka, MD; Kohtaro Yamamoto, MD; Takashi Suzuki, MD
Arch Surg. 1996;131(4):448-449. doi:10.1001/archsurg.1996.01430160106023.
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To improve the safety and speed of the peritoneal dissection, we developed a saline ballooning method in which a dull needle is inserted lateral to the inferior epigastric vessels under direct laparoscopic visualization to a tissue plane just superficial to the peritoneum. Then, saline solution is injected. As a result, the peritoneum is easily separated from the spermatic cord and inferior epigastric vessels. Furthermore, bleeding is minimized during dissection of the peritoneum. (Arch Surg. 1996;131:448-449)


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