The present skin scar is excised completely
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Exzision der Hautnarbe
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Exposing the fascial defect
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Opening the abdominal cavity
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Local adhesiolysis
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
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Dissecting the anterior fascia
Incising the rectus sheath
Starting at the margin of the fascia, incise the rectus sheath on both sides of the linea alba, the
Starting at the margin of the fascia, incise the rectus sheath on both sides of the linea alba, the
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