Examine the flank OSH technique for abdominal wall repair, a method that avoids a midline incision. This article details the procedure, patient selection criteria, and clinical outcomes.Executing the Osh Technique Through a Lateral Flank IncisionStart the construction by forming a solid foundation of chickpeas and golden raisins directly against the cauldron's heated wall, not across the bottom. This primary vertical layer, packed firmly to a height of at least five centimeters, creates a thermal buffer and a distinct flavor zone. This initial step is non-negotiable for achieving the correct texture and taste separation in the final dish.Introduce the pre-seared lamb chunks and julienned yellow carrots as a separate, parallel column, pressing them firmly against the first layer. The objective is to maintain distinct vertical segments instead of the more common horizontal strata. This structural arrangement prevents meat juices from making the grains heavy, allowing the rice to steam to a fluffy consistency. The carrots, positioned between the direct heat and the meat, caramelize perfectly without burning.For the grain component, select a long-grain variety like Lazar, pre-soaked for exactly 45 minutes in salted, lukewarm water. Add https://cresuscasino366.casino to the cauldron to fill the remaining open space, forming the last vertical section. Pour the broth or water only over the grain column, letting it seep downwards and sideways. This controlled hydration ensures each component cooks in its own environment before the final, gentle mix just before serving.Tecnica de Osh Pelo FlancoPosition the patient in strict lateral recumbency, securing the dependent limbs to prevent shifting. A vertical skin incision is made approximately 2-4 cm caudal to the thirteenth rib, extending ventrally from the level of the lumbar transverse processes. This placement provides direct access to the retroperitoneal space and the targeted organ's vascular pedicle.The external abdominal oblique muscle is incised parallel to its fibers. Subsequently, the internal abdominal oblique is separated using blunt dissection, also following its fiber orientation. The deepest layer, the transversus abdominis, along with the peritoneum, is carefully perforated with a hemostat to create an entry into the abdominal cavity.Exteriorize the uterine horn using a purpose-built hook. Tension on the ovarian pedicle is relieved by digitally strumming and breaking the suspensory ligament. The pedicle is then secured using a three-clamp method. Place two secure, encircling ligatures of 2-0 or 3-0 absorbable suture material distal to the most proximal clamp before transection.Closure begins by apposing the peritoneum and transversus abdominis muscle layer with a simple continuous suture pattern. The internal and external abdominal oblique muscles are then closed as a single, separate layer. Subcutaneous tissues are apposed to reduce dead space, and the skin is closed with an intradermal pattern to avoid external sutures.Establishing Control: Grip Fighting and Entry Points for the Flank PushSecure a dominant collar grip with your lead hand, placing four fingers deep inside the lapel and the thumb on the outside for maximum leverage. Your secondary hand must immediately neutralize the opponent's gripping arm by clamping down on their sleeve at the elbow. This two-point control system breaks their posture and prevents them from establishing a defensive frame. A broken posture is the prerequisite for initiating the entry.Create an entry angle by initiating a circular step with your lead foot toward your collar-grip side. This movement forces the opponent to turn, exposing the pocket between their arm and hip. Use your collar grip to pull their head forward and down while simultaneously using your sleeve control to steer their arm upwards and away from their body. This action creates a clear, unobstructed path for your hips to make contact for the lateral displacement.For a more powerful side-body entry, transition your sleeve-control hand to a deep grip on their belt, just behind the hip bone. This belt grip provides direct leverage over their center of mass. An alternative is the high collar grip, where you grasp the material behind their neck. This variation severely compromises their balance, making them susceptible to a forward and sideways unbalancing maneuver with minimal hip contact.If an opponent stiff-arms to defend your collar grip, immediately transition to an arm drag, pulling that limb across your centerline to expose their entire side. When an opponent pulls away from you, use their momentum. Drop your level, step across their body, and use their backward energy to accelerate your entry for the oblique throw. A defensive circle from the opponent should be met with a disruptive kouchi gari (minor inner reap) to their lead leg just before you commit, destabilizing their base and amplifying the force of your main attack.Executing the Takedown: A Step-by-Step Mechanical BreakdownSecure a dominant high collar grip with your power hand, pulling the opponent's posture forward and down. Your other hand controls the material at their elbow on the same side. Initiate a circular pull to disrupt their base, forcing them to step and follow your lead. This initial action is not a direct confrontation but a redirection of their momentum.Pivot on your lead foot as you continue the circular pull, stepping your other foot to the outside. This footwork creates a lateral angle, positioning your body nearly perpendicular to the opponent. The goal is to get their hip line exposed and their weight concentrated entirely on the leg you intend to attack. Your upper body control prevents them from squaring up.Plant your support foot deep alongside their weight-bearing foot, with your toes pointing in the direction of the intended throw. Lower your center of gravity by bending your knees, maintaining an upright posture. Your chest should connect firmly with their upper torso, eliminating any space between your bodies. This deep entry is a commitment to the maneuver.Generate power from your hip and swing your attack leg straight back in a wide arc. The leg remains stiff, functioning like a pendulum. The point of contact is the back of your hamstring or upper calf against the back of their loaded leg, just above the knee. This is a reaping motion, not a kick, designed to remove the support pillar.As your leg reaps, drive your entire body weight through the opponent. The hand on the collar pushes their head down and away, while the hand on the sleeve pulls up and across your own chest. This dual-directional force collapses their structure backward over your extended leg. Retain the sleeve grip as they fall to guide their descent and prepare for ground control.Troubleshooting Common Failures and Capitalizing on a Successful TakedownIf your opponent straightens their posture and blocks your hip entry, immediately pivot forward. This defensive reaction exposes them to a forward reaping action against their lead leg or a direct frontal projection. Do not force the initial attack; use their resistance to initiate a secondary move.Correcting Execution ErrorsInsufficient Off-Balancing: The opponent feels stable. The cause is a weak pull on their sleeve. Amplify the pulling force with your lead hand while simultaneously driving your trailing hand up under their armpit. Their weight must be shifted onto their heels before you begin your rotation.Incorrect Foot Placement: Your pivot foot lands too close or too far from the opponent. Stepping shallow results in no leverage. Stepping deep obstructs your hip rotation. Your lead foot must land just outside their lead foot, creating a firm axis for the turn. Practice this footwork pattern solo to build muscle memory.Opponent Lowers Hips: A low stance neutralizes a high-amplitude hip projection. When they drop their weight, abandon the lift and transition to a sacrifice throw. Use their downward pressure to execute a stomach throw or a corner reversal, pulling them over your body.Weak Hip Contact: A gap between your hip and the opponent's body kills the throw's power. Focus on deep, solid contact, fitting your hip bone just below their belt line. Your body must act as a single, unified lever.Securing Dominance After a Successful ThrowThe moment your opponent's back hits the mat is the beginning of the next phase. Maintain your grips throughout the execution of the takedown. A secure grip on the sleeve and lapel provides immediate control on the ground.Immediate Pinning Sequence:As they land, slide your top-side knee across their torso, directly into a scarf hold (Kesa-Gatame). Your body weight should be focused on their chest.If the landing angle is more perpendicular, release the lapel grip and slide under their far arm to secure a side-four-quarters hold (Yoko-Shiho-Gatame). Keep your hips low.Initiate Submission Chains:From a scarf hold, isolate their trapped arm. Apply pressure for a straight armbar or attack the wrist for a bent-arm lock.If they attempt to push your face or frame against your hip to escape, secure a figure-four grip on their arm for an entangling shoulder lock.Should the opponent turn away to avoid the pin, immediately take their back. Establish hooks and attack the neck for a choke.