Thursday, February 12, 2015

Para umbilical Hernia Repair


Paraumbilical Hernia
Objective
In case of umbilical hernia with:
•   Increase in size or
•   Presence of symptoms
•   To repair the defect.
Position
Supine.
Anesthesia
General.
Incision
Curved incision in the groove below the hernia.
Procedure
1.  Identify the anterior rectus sheath.
2.  Expose it around lower half of the circumference of the hernia.
3.  Excise the hernial sac protect skin if possible.
4.  Cut rectus sheath laterally for 2-3 one on each side and carry out a vest over parts repair using interrupted prolene sutures.
5.  Close wound in layers with drainage.
Instrument
Hernia set.

Any questions be sent to drmmkapur@gmail.com
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