Umbilical hernia, primary suture repair - general and visceral surgery

You have not purchased a license - paywall is active: to the product selection
date of publication: 30.11.2011
  • Chirurgische Praxis

    Dr. med.  Karl Heinz  Moser

Single Access

Access to this lecture
for 3 days

€4.99 inclusive VAT

SEPA Maestro Mastercard VISA

webop-Account Single

full access to all lectures
price per month

for the modul: vascular surgery

from 8,17 €

hospitals & libraries

for the modul: vascular surgery

from 390,00 euros

  • Skin incision


    Semicircular infraumbilical skin incision (Spitzy skin incision, “smiling incision”)

  • Hernia sac dissection


    Transect the subcutis, free the hernia sac from the umbilicus and dissect the sac down to the fascial orifice. Most of the tissue prolapsing through the fascial orifice is preperitoneal epigastric fat.

  • Freeing the fascial margins

    Paid content (video)
    Paid content (image)

    Free the entire margin of the fascia over a width of about 1cm.

  • Closing the hernia orifice

    Paid content (video)
    Paid content (image)

    Invaginate the hernia sac with its attached preperitoneal fat and close the fascial orifice in transverse fashion with interrupted sutures (nonabsorbable suture 0/0 to 0/2).

  • Fixating the umbilicus

    Paid content (video)
    Paid content (image)

    Refixate the umbilicus to the fascia.

  • Skin suture

    Paid content (video)
    Paid content (image)

    Close the subcutis with interrupted sutures. Close the skin with subcuticular sutures. Adapt the wound with Steri-Strips. Dress and model the umbilical contour with a small swab. Adhesive dressing.