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Umbilical hernia, direct suture

general and visceral surgery

readingtime 11:32 min.

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Anatomy Perioperative management Technique Complications Evidence Total Video

Content

Skin Incision
Preparation of the Hernia Sac
Displaying the Fascia Edges
Closure of the Hernial Orifice
Fixation of the Navel
Skin Suture

Authors

Dr. med. Karl Heinz Moser

Dr. med. Karl Heinz Moser

Chirurgische Praxis

Date

date of publication: 30.11.2011
date of update: 10.04.2024

Skin Incision

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Skin incision below the navel, semicircular (Spitzy incision, smiling incision).
Preparation of the Hernia Sac

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Transection of the subcutis and detachment of the hernia sac from the umbilicus, exposing it up to the fascial ring.
Note: The detachment of the thin umbilical skin is performed without electrocautery!
Displaying the Fascia Edges

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Through the fascial gap, predominantly preperitoneal epigastric fat protrudes. The fascial gap is carefully prepared epifascially.

Closure of the Hernial Orifice

Invagination of the hernial sac or preperitoneal fat tissue and transverse closure of the hernial g

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After activation, you can expect the following content:

Skin Incision
Preparation of the Hernia Sac
Displaying the Fascia Edges
Closure of the Hernial Orifice
Fixation of the Navel
Skin Suture