A surgical grooved director including a fixed or removable handle with a tubular member having a lumen extending therethrough with an aperture at its proximal end and a blunt dissecting distal tip. An access window is formed through the wall of the tubular member in a distal portion of the instrument and is in communication with the lumen. An integral side rail is integrally mounted on the tubular member and defines a linear groove adapted to receive and allow slideable movement of a knife.
