c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Interstitial Hernia: 19

A D V E R T I S E M E N T

   

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The left inferior epigastrics were identified in the preperitoneal fat.     

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Interstitial Hernia: 20

A D V E R T I S E M E N T

   

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Dissection medial to the epigastrics revealed a direct hernia defect. A large wad of preperitoneal fat was dissected from this hernia defect.     

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Interstitial Hernia: 21

A D V E R T I S E M E N T

   

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The hernia sac was carefully dissected from the interstitial space between muscle layers. A small tear in the peritoneum occurred during the dissection, and the resulting pneumoperitoneum was controlled by venting through the left upper quadrant port to maintain exposure in the preperitoneal space. The last connections of the sac are shown being divided.    

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This page was last modified on 12/20/2005.