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Abdominal wall reconstruction according to Ramirez

  1. Skin Incision

    Video
    Skin Incision
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    Cutting around the large hernia sac in the area of the split-thickness skin graft in laparostomy.

  2. Opening of the Abdomen; Removal of Split-Thickness Skin

    Video
    Opening of the Abdomen; Removal of Split-Thickness Skin
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    Careful pre-preparation is performed intraperitoneally with the removal of split-thickness skin. Significant adhesions to the anterior abdominal wall are not present.

    Note: An interenteric adhesiolysis can be omitted in the absence of a history of obstruction.

Presentation of the External Aponeurosis

The first step is to enter the subcutis and present the external aponeurosis from the small pelvis

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