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Umbilical Hernia Images

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Umbilical hernia, pre-op.
VID 45, frame 1

herP4168

Umbilical hernia, umbilical fascial collar, umbilical stalk.
VID 45, frame 1

herL4169

Peritoneum and preperitoneal fat.
VID 45, frame 2

herL4170

Inferior circumumbilical incision made from 3:00-9:00.
VID 45, frame 3

herP4171

Skin edges held under tension with Adson forceps and incision completed with a sawing motion.
VID 45, frame 4

herP4172

Subcutaneous bleeders exposed for cautery.
VID 45, frame 5

herP4173

Areolar fascia pulled downward off the umbilical stalk.
VID 45, frame 6

herP4174

Umbilical fascial ring around the base of the stalk is exposed.
VID 45, frame 7

herP4175

Pean clamp used to dissect around either side of stalk and connect on cephalad side.
VID 45, frame 8

herP4176

Stalk elevated.
VID 45, frame 9

herP4177

Line of incision to free top of umbilical stalk from umbilical skin.
VID 45, frame 10

herG4178

Stalk carefully separated from the skin.
VID 45, frame 11

herP4179

Preperitoneal fat visible through stalk opening.
VID 45, frame 12

herP4180

Lower lip of cut stalk grasped with Alis clamp.
VID 45, frame 13

herP4181

Cephalad rim of stalk is separated over Pean clamp.
VID 45, frame 14

herP4182

Cephalad rim of stalk grasped.
VID 45, frame 15

herP4183

Preperitoneal fat freed circumferentially from stalk.
VID 45, frame 16

herP4184

Fat reduced to expose internal edges of the defect.
VID 45, frame 17

herP4185

Fascial umbilical ring closed with simple interrupted braided non-absorbable suture material.
VID 45, frame 18

herP4186

Completed repair.
VID 45, frame 19

herP4187

Center of umbilical skin tacked down to the repair using 4-0 absorbable suture.
VID 45, frame 20

herP4188

Skin is closed with running absorbable 4-0 suture.
VID 45, frame 21

herP4189

Skin closed.
VID 45, frame 22

herP4190

Steri strips applied.
VID 45, frame 23

herP4191

This page was last modified on 1/30/2000.
 

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