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

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  • Skin incision

    Video
     
    Skin incision
     

    Semicircular skin incision along the right lateral margin of the umbilicus.

  • Dissecting the hernia sac

    Video
     
    Dissecting the hernia sac
     

    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°

    Video
     
    Exposing the fascial margins 360°
     

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

  • Dissecting the preperitoneal space

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  • Preparing the mesh

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  • Positioning the mesh

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  • Closing the fascial defect

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  • Fixating the umbilicus and closing the wound

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  1. Skin incision
  2. Dissecting the hernia sac
  3. Exposing the fascial margins 360°
  4. Dissecting the preperitoneal space
  5. Preparing the mesh
  6. Positioning the mesh
  7. Closing the fascial defect
  8. Fixating the umbilicus and closing the wound
date of update: 14.02.2017
date of publication: 29.04.2013

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