Umbilical hernia repair, open, preperitoneal umbilical mesh plasty ("PUMP”-Repair)

general and visceral surgery

readingtime 10:21 min.

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Anatomy Perioperative management Technique Complications Evidence Total Video

Content

Skin incision
Dissecting the hernia sac
Exposing the fascial margins 360°
Dissecting the preperitoneal space
Preparing the mesh
Positioning the mesh
Closing the fascial defect
Fixating the umbilicus and closing the wound

Authors

Prof. Dr. med. Markus Heiss

Prof. Dr. med. Markus Heiss

Krankenhaus Merheim

Skin incision

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Semicircular skin incision along the right lateral margin of the umbilicus.
Dissecting the hernia sac

Soundsettings
The video clip can be played back with the automatic soundtrack of the subtitles.

In the sidebar registered users can enable and disable the automatic start of the dubbing.

Remark: Since this is a text-to-speech computer voice, it may mispronounce some medical terminology.

With delicate dissecting scissors free the hernia sac all around from its adhesions with the subcutaneous tissue without opening it.

Exposing the fascial margins 360°

360° epifascial dissection with exposure of the fascial margins, followed by freeing the hernia sac

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general and visceral surgery

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After activation, you can expect the following content:

Skin incision
Dissecting the hernia sac
Exposing the fascial margins 360°
Dissecting the preperitoneal space
Preparing the mesh
Positioning the mesh
Closing the fascial defect
Fixating the umbilicus and closing the wound