Open incisional hernia repair with retromuscular mesh augmentation - general and visceral surgery
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Exzision der Hautnarbe
Exposing the fascial defect
Opening the abdominal cavity
Local adhesiolysis of abdominal organs in the hernia sac allows better overview and helps avoid iatrogenic bowel lesions when dissecting the tissue for the mesh bed.
Follow this by covering the abdominal cavity with a warm wet laparotomy pad.
Note: Interenteric adhesiolysis should only be performed in case of pertinent complaints
Dissecting the anterior fascia
Incising the rectus sheath
Dissecting the mesh support
Closing the abdominal cavity
Measuring the mesh bed
Placing and fixating the mesh
Closing the anterior rectus sheath
Fixating the umbilicus and closing the wound in layers