Surgical Technique (Simplified)
Under general anesthesia, a 10 mm incision is made in the lateral area of the abdomen at the height of the umbilicus/navel, CO2 is introduced to the cavity, then 2 more incisions are made in the abdomen (both of 5mm) to introduce the rest of the instruments, the hernia sac and its contents are brought back to the abdominal cavity, the whole area is dissected and the mesh is introduced through one of the incisions and placed covering the totality of the defect(s) with an overlap of at least 4 cm, then it is fixed with staples, incisions are closed with suture and the procedure is completed.
**The material Dr. Rosales uses depends on the case and his personal preference.
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Incisions for Laparoscopic Incisional Hernia Repair |
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