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: 1

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

   
 

A 42-year-old woman presented with a symptomatic epigastric hernia measuring 5 cm in diameter. She had had a prior caesarian delivery thorough a lower midline incision. She was taken to the operating room for laparoscopic ventral hernia repair.       

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Laparoscopic Ventral Hernia Repair: 2

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

   

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Local anesthesia was injected prior to the insertion of each port. A 12-mm incision was made 2 cm below the left costal margin in the anterior axillary line. The flank muscles were bluntly split with a large hemostat down to transversalis fascia. A finger was used to penetrate transversalis and peritoneum, using the costal margin as a fixed anchor.    

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Laparoscopic Ventral Hernia Repair: 3

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

   
 

The 12-mm balloon port and two 5-mm ports are shown.       

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This page was last modified on 9/2/2005.