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This Concept Map, created with IHMC CmapTools, has information related to: Surgical Procedure, Monitor Vitals Every 5 min while under general anaesthesia Respiratory rate*, Skin closure Using Prolne suture material Cruciate Pattern, Vest-over-pants technique* OR Near- Far- Far-Near technique, The surgeon uses his/her finger to feel for any adhesions inside the hernial sac Using scalpel blade Remove hernial sac as close to body wall as possible, Intra-op During surgical procedures Monitor Vitals, Push all contents back into abdomen and palpate entire hernial ring Using size 15 scalpel blade and a pencil grip Make an elliptical incision about 2cm outside of the hernial ring perimeter, Monitor Vitals Every 5 min while under general anaesthesia Cardiovascular status*, Abdominal wall closure Followed by Subcutaneous tissue closure, Surgical Procedure for Umbilical Hernia Repair After aseptic preparation of patient Push all contents back into abdomen and palpate entire hernial ring, Abdominal wall closure Using PDS suture material Vest-over-pants technique*, The surgeon uses his/her finger to feel for any adhesions inside the hernial sac If adhesions present Bluntly dissect away from wall careful not to rupture any vessels or organs within hernia, Remove skin flap covering hernia Dissect subcutaneous tissue to reveal hernial sac Lift hernial sac and make a stab incision*, Intra-op Conservative methods of Repair* Elastrator Band*, Lift hernial sac and make a stab incision* Check for adhesions The surgeon uses his/her finger to feel for any adhesions inside the hernial sac, Remove hernial sac as close to body wall as possible Ensure abdominal contents are fully reduced into abdomen Abdominal wall closure, Make an elliptical incision about 2cm outside of the hernial ring perimeter Note: Hemostats are used for any bleeding vessels and a saline wash is used to keep surgical wound clear*, Intra-op Attempted in lab Surgical removal, Intra-op Conservative methods of Repair* Support Bandages*, Intra-op Conservative methods of Repair* Hernial Clamps*, Subcutaneous tissue closure Using PDS suture material Simple continuous suture pattern