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Umbilical hernia, direct suture

Reading time readingtime 11:32 min.
  1. Skin Incision

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    Skin Incision
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    Skin incision below the navel, semicircular (Spitzy incision, smiling incision).

  2. Preparation of the Hernia Sac

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    Preparation of the Hernia Sac
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    Transection of the subcutis and detachment of the hernia sac from the umbilicus, exposing it up to the fascial ring.

    Note: The detachment of the thin umbilical skin is performed without electrocautery!

  3. Displaying the Fascia Edges

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    Displaying the Fascia Edges
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    Through the fascial gap, predominantly preperitoneal epigastric fat protrudes. The fascial gap is carefully prepared epifascially.

  4. Closure of the Hernial Orifice

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    Closure of the Hernial Orifice
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    Invagination of the hernial sac or preperitoneal fat tissue and transverse closure of the hernial gap with interrupted sutures (non-absorbable suture 0-0 or 2-0).

  5. Fixation of the Navel

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    Fixation of the Navel
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    Refixation of the navel to the fascia with an absorbable suture.

  6. Skin Suture

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    Skin Suture
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    Closure of the subcutis with interrupted sutures. Skin closure by intracutaneous suture. Wound adaptation with Steri-Strips. Shaping of the navel with a small swab. Adhesive dressing.

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