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  • Title
  • 1. Introduction
  • 2. Incision and Flap Dissection with Excision of Unstable Scar
  • 3. Midline Incision, Access to the Abdominal Cavity, and Adhesiolysis
  • 4. Hernia Sac Resection, Retromuscular Dissection, and TAR on the Left
  • 5. Hernia Sac Resection and Retromuscular Dissection on the Right
  • 6. Assessing Tension on the Posterior and Anterior Sheaths
  • 7. Irrigation, Hemostasis, and Further Lysis of Adhesions
  • 8. Placement of Seprafilm to Prevent Adhesions
  • 9. Posterior Rectus Sheath Closure
  • 10. Mesh Placement with Tisseel
  • 11. Anterior Rectus Sheath Closure
  • 12. Post-op Remarks

Open Incisional Hernia Repair with Mesh and Unilateral Posterior Component Separation with Excision of Unstable Scar

6373 views

Hany M. Takla, MD, FACS, FASMBS, DABS-FPMBS
Wentworth-Douglass Hospital

General Surgery

Procedure Outline

Table of Contents

  1. 1. Introduction
    1. 2. Incision and Flap Dissection with Excision of Unstable Scar
      1. 3. Midline Incision, Access to the Abdominal Cavity, and Adhesiolysis
        1. 4. Hernia Sac Resection, Retromuscular Dissection, and TAR on the Left
          1. 5. Hernia Sac Resection and Retromuscular Dissection on the Right
            1. 6. Assessing Tension on the Posterior and Anterior Sheaths
              1. 7. Irrigation, Hemostasis, and Further Lysis of Adhesions
                1. 8. Placement of Seprafilm to Prevent Adhesions
                  1. 9. Posterior Rectus Sheath Closure
                    1. 10. Mesh Placement with Tisseel
                      1. 11. Anterior Rectus Sheath Closure
                        1. 12. Post-op Remarks

                          1. Introduction

                          2. Incision and Flap Dissection with Excision of Unstable Scar

                          3. Midline Incision, Access to the Abdominal Cavity, and Adhesiolysis

                          4. Hernia Sac Resection, Retromuscular Dissection, and TAR on the Left

                          5. Hernia Sac Resection and Retromuscular Dissection on the Right

                          6. Assessing Tension on the Posterior and Anterior Sheaths

                          7. Irrigation, Hemostasis, and Further Lysis of Adhesions

                          8. Placement of Seprafilm to Prevent Adhesions

                          9. Posterior Rectus Sheath Closure

                          10. Mesh Placement with Tisseel

                          11. Anterior Rectus Sheath Closure

                          12. Post-op Remarks

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                          Authors

                          Filmed At:

                          Wentworth-Douglass Hospital

                          Article Information

                          Publication Date
                          Article ID474
                          Production ID0474
                          Volume2025
                          Issue474
                          DOI
                          https://doi.org/10.24296/jomi/474