Semicircular skin incision along the right lateral margin of the umbilicus.
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Skin incision
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Dissecting the hernia sac
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Remark: Since this is a text-to-speech computer voice, it may mispronounce some medical terminology.With delicate dissecting scissors free the hernia sac all around from its adhesions with the subcutaneous tissue without opening it.
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Exposing the fascial margins 360°
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Remark: Since this is a text-to-speech computer voice, it may mispronounce some medical terminology.360° epifascial dissection with exposure of the fascial margins, followed by freeing the hernia sac from these margins.
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Dissecting the preperitoneal space
Soundsettings The video clip can be played back with the automatic soundtrack of the subtitles.
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Remark: Since this is a text-to-speech computer voice, it may mispronounce some medical terminology.Carefully free the peritoneum digitally from the posterior lamina of the fascia; this will open the preperitoneal space 360° around the fascial defect over a length of 3–5cm.
Preparing the mesh
Trim the mesh (Tutomesh® in the video example) to a size of 6×6cm and then arm the corners of the m
Trim the mesh (Tutomesh® in the video example) to a size of 6×6cm and then arm the corners of the m
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