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Breast Interstitial Procedure
Insertion of trocars under U/S guidance
 Technique
 Template-guided
 Free hand technique
 Trocars are inserted in an orderly fashion
 Beginning with the deepest plane and then
proceeding towards the more superficial
planes
 Particular care has to be taken with deep-
seated needles in order not to puncture
the thoracic wall/pleura
 Latero-medial orientation is preferred
Free hand Technique
Courtesy Dr.Arthur
Template-guided
Technique
Courtesy Dr.Arthur