Laparoscopic hernia repair, IPOM following lower laparotomy

Anatomy Perioperative management Technique Complications Evidence Total Video

Content

Determining the mesh size
Establishing pneumoperitoneum and inspecting the abdominal cavity
Trocar insertion
Adhesiolysis
Dissecting the prevesical space
Parietalizing the peritoneum
Mesh insertion
Catching the stay sutures
Mesh fixation

Authors

Prof. Dr. med. Dieter Berger

Klinikum Mittelbaden

Determining the mesh size

Before establishing the pneumoperitoneum, the edge of the scar plus sufficient overlap is traced in all directions, thereby determining the size of the mesh.
Since in this case the fascia defect extends mostly to the right, the mesh must be placed asymmetrically.

Establishing pneumoperitoneum and inspecting the abdominal cavity

After previous gynecologic surgery via lower midline laparotomy, establish pneumoperitoneum through

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general and visceral surgery

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After activation, you can expect the following content:

Determining the mesh size
Establishing pneumoperitoneum and inspecting the abdominal cavity
Trocar insertion
Adhesiolysis
Dissecting the prevesical space
Parietalizing the peritoneum
Mesh insertion
Catching the stay sutures
Mesh fixation

Laparoscopic hernia repair, IPOM following lower laparotomy

Determining the mesh size

Activate now and continue learning straight away.

Single Access

webop - Savings Flex

general and visceral surgery