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Surgeons speak about technique of aqua or hydro dissection as a method to release adhesions and dissect tissues by power of water. However, you see it working very nice and magical in some hands while dose not work in other hands!! So, sone surgeons ferl frustration that they do not have sane impressive performance as they see it in hands of others!! Here I disclose secrets of the game🤩🤩 It is bot just simply the power of water jet that release and dissect… it is not only the for e of water!! But, it is combination if many things and manouvers that viewers may not notice neither realize. 1) It is tactile gentle push thst adds power and release tissues together with fluid. Fluid find area of least resistance but surgeon has to follow this track by blunt push in proper plane otherwise wrong catastrophies my ocure. 2) Changing direction of fluid jet to seek least resistance plane. So, surgeon has to rotate, mive from side to side gently and manouver direction of tip of sheath to direct aqua jet. 3) Surgeon should develop sense and skills of tissue resistance do as know direction of move. 4) Flyid pressure is not static and surgeon must develop experience of changing pressure level as well as using pulse mode to hit adhesions and break tussues in correct plane. Si, do not call it hydro or aqua dissection, but call it Tactile flyid aided dissection. Is it easy? No!! Is it impossible? Also No All you need is to try and keep trying till build and impkant the tactile sensation in your hands. Good luck to all Osama Shawki