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

 

Laparoscopic Ventral Hernia Repair: 7

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

   
 

If the boundaries are unclear, a fine (22g) spinal needle may be used to probe the edges of the defect while viewing the point of penetration through the laparoscope.  The defect size can also be measured internally.      

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Laparoscopic Ventral Hernia Repair: 8

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

   
 

The margins of the defect are marked on the skin, and a 5 cm perimeter around the defect is measured to determine the size of the patch. In the case of an incisional ventral hernia repair, many surgeons reinforce the entire previous incision, since this is often a site for future recurrence.      

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Laparoscopic Ventral Hernia Repair: 9

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

   
 

If the hernia sac is small it can be inverted into the abdomen and tacked to the abdominal wall beside the defect. This maneuver may reduce the incidence of post-op seroma formation.       

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This page was last modified on 3/21/2000.