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.
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 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
Trocar placement for upper abdominal dissection.
Room setup and patient position for upper abdominal node dissection.
The colon is retracted toward the anterior abdominal wall as the vascular pedicle is divided with the linear cutting stapler.
A. The anvil of the circular stapler is inserted in the proximal end of the bowel (which has been drawn out of the abdomen through an enlarged trocar site). B. The pursestring suture is tied. The bowel is then returned to the abdomen.
Terminal ileum, cecum, ascending and proximal transverse colon eviscerated through the small midline incision. Resection and anastomosis will be performed in an extracorporeal manner. The anastomosis is then returned to the abdominal cavity.
Laparoscopic colostomy. A. The preselected colostomy site has been prepared by excising a disk of skin and subcutaneous tissue down to fascia. Fascia is left intact to prevent loss of pneumoperitoneum. A trocar is placed through the center of the ostomy s
Both a fan-shaped and an inflatable donut-shaped device are available. Each is inserted into the abdomen in a collapsed configuration, then expanded within the peritoneal cavity.