ABSTRACT
There are several techniques that the operator must master. These techniques of surgical dissection are the same in any area of the pelvis irrespective of the route of entry to that anatomic area, whether by laparotomy, laparoscopy, or per vaginum. The techniques are grasp and tent, “mm” incisions under clear visual control, push and spread, traction and countertraction, rotation and counterrotation of the grasped tissue, and gentle wiping of tissue by judicious blunt dissection. Some of these techniques can be facilitated by the technique of hydrodissection. Hydrodissection is the injection of sterile fluid into the tissues to be dissected, in order to tent and thin these tissues. Again, these dissection techniques must be performed slowly and deliberately in small 1-mm increments.
