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Image Tag: Abdominal Wall

Drain site hernia

A 67 yrs old lady who underwent LAR for Rectal Ca 10 days ago came back because "guts came out of the place where the rubber tape was before". Upon examination this very unusual finding was seen.

Posted on
02/02/2011
Image Categories
Outcomes / Complications of Surgery
Image Tags
abdominal wall, incisional hernia

Transillumination and finger depression

A. Transillumination and finger depression of the abdominal wall confirm juxtaposition of the inflated stomach and the anterior abdominal wall. B. The site selected will generally be approximately halfway between costal margin and umbilicus.

Posted on
06/16/2010
Image Categories
Fundamentals: Percutaneous Endoscopic, SAGES Manual
Image Tags
abdominal wall, anterior, costal margin, finger depression, inflated, juxtaposition, stomach, transillumination, umbilicus

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

Posted on
06/15/2010
Image Categories
Fundamentals: Repair of Ventral Hernia, SAGES Manual
Image Tags
abdominal wall, anchor, hernia, knot, mattress, mesh, musculofascial, staples, subcutaneously, suture

Sagittal view of extraperitoneal dissection

Sagittal view of extraperitoneal dissection. A space is developed between peritoneum and abdominal wall. Note that the bladder is mobilized downward.

Posted on
06/15/2010
Image Categories
Fundamentals: Inguinal Hernia Repair: Transab, SAGES Manual
Image Tags
abdominal wall, bladder, dissection, extraperitoneal, peritoneum, sagittial

Palpate the head of the stapler/tacking device

Surgeon using nondominant (left) hand to palpate the head of the stapler/tacking device through the anterior abdominal wall, thus verifying stapler/tacking device position relative to external landmarks and providing counterpressure.

Posted on
06/15/2010
Image Categories
Fundamentals: Inguinal Hernia Repair: Transab, SAGES Manual
Image Tags
abdominal wall, anterior, counterpressure, nondominant, palpate, stapler, tacking device

Enterotomies

Stay sutures have been placed and tied. Two enterotomies have been made and the stapler is inserted into the two enterotomies. The bowel and gallbladder must be carefully positioned to fully utilize the entire length of the stapling device (by pulling the

Posted on
06/15/2010
Image Categories
Fundamentals:Cholecystojejunostomy&Gastro, SAGES Manual
Image Tags
abdominal wall, bowel, enterotomies, gallbladder, quadrant, stapler

The abdominal wall upon completion of procedure

The abdominal wall upon completion of the procedure. The external and anchoring sutures are secured to the skin.

Posted on
06/14/2010
Image Categories
Fundamentals: Placement of Jejunostomy Tube, SAGES Manual
Image Tags
abdominal wall, anchoring sutures, external, skin

Dilator through the abdominal wall and into lumen

Passing one of the dilators through the abdominal wall and into the lumen of the jejunum. Care is taken to pass the dilator just into the lumen of the bowel (under visual laparoscopic control), not far enough to risk posterior intestinal wall perforation.

Posted on
06/14/2010
Image Categories
Fundamentals: Placement of Jejunostomy Tube, SAGES Manual
Image Tags
abdominal wall, bowel, dilators, jejunum, lumen, perforation, posterior intestinal wall

Placing anchoring sutures

The anchoring sutures are being placed. The suture is passed through the abdominal wall, a seromuscular bite of intestine is taken, and the suture is then passed out of the abdomen. Four sutures are placed in a diamondshaped configuration, providing both

Posted on
06/14/2010
Image Categories
Fundamentals: Placement of Jejunostomy Tube, SAGES Manual
Image Tags
abdominal wall, anchoring, intestine, retraction, seromuscular, sutures

T-Fasteners through the abdominal wall

T-fasteners through the abdominal wall and anterior gastric wall.

Posted on
06/11/2010
Image Categories
Fundamentals: Laparoscopic Gastrostomy, SAGES Manual
Image Tags
abdominal wall, anterior gastric wall, tfasterners

Technique of Elective Diagnostic Laparoscopy

Trocar and needle placement for liver biopsy. The biopsy needle may be passed through a trocar or percutaneously through the abdominal wall.

Posted on
06/10/2010
Image Categories
Fundamentals: Elective Diagnostic Laparoscopy, SAGES Manual
Image Tags
abdominal wall, needle placement, trocar

Hernia Defect

Large incisional hernia defeft of a chevron incision, with multiple satellite defects

Posted on
10/15/2009
Image Categories
Hernia Surgery
Image Tags
abdominal wall, defect, incisional hernia, ventral hernia

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