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

Anatomy Perioperative management Technique Complications Evidence Total Video

Content

Skin incision
Preparation of the hernia sac
Circular Exposure of the Fascial Edges
Preparation of the preperitoneal space
Preparing the Mesh
Placing the Mesh
Closure of the Fascial Defect
Refixation of the umbilicus; Wound closure

Authors

Date

date of publication: 29.04.2013
date of update: 10.04.2024

Skin incision

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.

A semicircular skin incision is made at the right lateral edge of the umbilicus.
Preparation of 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.

Using fine dissecting scissors, the hernia sac is circularly dissected from the subcutaneous tissue – without opening it – and detached from the umbilicus.
Note: The detachment of the thin umbilical skin is performed without electrocoagulation!
Circular Exposure of the Fascial Edges

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.

Circular epifascial preparation with initial exposure of the fascial edge, then releasing the hernia sac from the fascial defect..
Preparation of the preperitoneal space

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.

Careful digital detachment of the peritoneum from the posterior fascial sheath, thereby opening the preperitoneal space in all directions over a distance of 3-5 cm around the fascial defect.