Semicircular infraumbilical skin incision (Spitzy skin incision, “smiling incision”)
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Skin incision
![Skin incision]()
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Hernia sac dissection
![Hernia sac dissection]()
Transect the subcutis, free the hernia sac from the umbilicus and dissect the sac down to the fascial orifice. Most of the tissue prolapsing through the fascial orifice is preperitoneal epigastric fat.
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Freeing the fascial margins
![Freeing the fascial margins]()
Free the entire margin of the fascia over a width of about 1cm.
Closing the hernia orifice
Invaginate the hernia sac with its attached preperitoneal fat and close the fascial orifice in tran
Invaginate the hernia sac with its attached preperitoneal fat and close the fascial orifice in tran
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