Image Category: Fundamentals: Repair Of Ventral Hernia

Pantaloon Hernia

Image obtained during Laparoscopic Hernioraphy. This illustrates the TAP view of a left direct (black arrow) and indirect hernia (White arrow) in a man. Asterisk indicates spermatic cord vessels.

Method of mesh fixation

Method of mesh fixation with a suture passer. Use the suture passer to introduce the suture through the musculofascial layer, the mesh, and then back out through all layers as a mattress suture. Use four to eight mattress sutures to anchor the mesh, depen

Laparoscopic view of a ventral hernia

Laparoscopic view of a ventral hernia with incarcerated omentum. The hernia contents must be dissected free from the abdominal wall to expose the hernia defect.

Cutting the mesh prosthesis

Cut the mesh prosthesis to the desired size and mark its intended location on the anterior abdominal wall. The shaded area indicates the approximate outline of the ventral hernia, and the mesh is indicated by crosshatches. The mesh should extend beyond th

Demonstration of port placement

Demonstration of port placement for repair of a ventral hernia in the upper abdomen. Place the first trocar in the lower midline, 2 or 3 in. inferior to the ventral hernia. Ventral hernias in the lower abdomen require placement of the camera port in the u

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