Johnson & Johnson Institute
Ventral hernia repair - medium hernia with mesh
Operative steps
- Access is generally obtained through an incision in the left upper quadrant. Usually, a 5 mm trocar is used to enter the abdomen if laparoscopic assistance is needed.
- The abdomen is insufflated to visualize the ventral hernia defect.
- Once visualized and safe, a left lower quadrant 12 mm trocar and a right lower quadrant 5 mm trocar are placed under visualization.
- All abdominal wall adhesions are taken down using blunt dissection, sharp dissection, or an energy device. This is done to remove adhesions to visualize the ventral hernia defect.
- Any intra-abdominal content, such as small bowel, is reduced from the hernia using meticulous dissection.
- An incision is made over the ventral hernia. The subcutaneous tissue is dissected to expose the hernia sack.
References
For complete indications, contraindications, warnings, precautions, and adverse reactions, please reference full package insert.
George Crawford, MD prepared this procedure guide on behalf of Johnson & Johnson and its affiliates. The procedure guide reflects the opinions of the individual presenter, and the steps described may not encompass the complete steps of the procedure. Additionally, other surgeons may prefer different techniques, approaches, etc., as individual surgeon experience in his/her clinical practice, as well as patient needs, may dictate variation in procedure steps.
Before using any medical device, review all labeling, including without limitation; the Instructions For Use (IFU), and relevant package inserts with particular attention to the indications, contraindications, warnings and precautions, and steps for use of the device(s).
This presentation is not accredited for CE/CME.
George Crawford, MD is compensated by and presenting on behalf of Johnson & Johnson and its affiliates and must present information in accordance with applicable regulatory requirements.
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