WARNING:
JavaScript is turned OFF. None of the links on this concept map will
work until it is reactivated.
If you need help turning JavaScript On, click here.
This Concept Map, created with IHMC CmapTools, has information related to: Surgery, 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, Remove hernial sac as close to body wall as possible Ensure abdominal contents are fully reduced into abdomen Abdominal wall closure, Subcutaneous tissue closure Using PDS suture material Simple continuous suture pattern, 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, Make an elliptical incision about 2cm outside of the hernial ring perimeter If patient is male Alter incision shape to avoid prepuce, 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*, Vest-over-pants technique* OR Near- Far- Far-Near technique, Subcutaneous tissue closure And finally Skin closure, Surgical Procedure for Umbilical Hernia Repair After aseptic preparation of patient Push all contents back into abdomen and palpate entire hernial ring, 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, Skin closure Using Prolne suture material Cruciate Pattern, Abdominal wall closure Using PDS suture material Vest-over-pants technique*, Abdominal wall closure Followed by Subcutaneous tissue closure, Remove skin flap covering hernia Note: Hemostats are used for any bleeding vessels and a saline wash is used to keep surgical wound clear*, Make an elliptical incision about 2cm outside of the hernial ring perimeter using blunt dissection technique* Remove skin flap covering hernia, Remove skin flap covering hernia Dissect subcutaneous tissue to reveal hernial sac Lift hernial sac and make a stab incision*, 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