Before the skin incision, the landmarks are marked with a skin marker. These are:
- Costal arch
- Symphysis
- Hernia gap
- if applicable, incision line
-
Marking the 'landmarks'
![Marking the 'landmarks']()
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Skin incision; excision of the scar
![Skin incision; excision of the scar]()
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Remark: Since this is a text-to-speech computer voice, it may mispronounce some medical terminology.Generous wedge-shaped excision of the scar with significantly excess skin from the xiphoid to the symphysis, with the abdominal cavity being opened. Concurrently, adhesiolysis of adherent intestinal loops is performed.
Adhesiolysis
Systematic adhesiolysis along the abdominal wall laterally up to the level of the anterior axillary
Systematic adhesiolysis along the abdominal wall laterally up to the level of the anterior axillary
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