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. 2024 Mar 4;51(3):295–303. doi: 10.1055/s-0043-1775882

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The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. ( https://creativecommons.org/licenses/by/4.0/ )

This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Fig. 1 — ( A ) Opening along the preoperative marking of four transverse incisions with a length of 1 cm. ( B ) Dissection of the pathological cord from the underlying soft tissues. ( C ) Preparation of subcutaneous tunnels between the incisions. ( D ) Isolation of the cord from the deep planes with umbilical ribbons. ( E ) Protection of the underlying tissues with grooved directors. ( F ) Lifting and pulling through the subcutaneous tunnels of the pathological tissue.