fastewar
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Attention was then paid to the reconstruction of the abdominal wall defect from
the previous large hernia. Skin flaps were raised and the hernia sac identified.
The anterior rectus sheat was identified bilaterally and raising of the skin flaps
continued to towards the anterior axillary line. An incision was made on the
anterior rectus sheath laterally and this was lifted off of the rectus muscles
bilaterally and inverted towards the midline and approximated with #1-PDS in a
running fasion to completely cover the hernia defect. A 20 x 16 cm piece of
Strattice was then placed as an overlay and secured to the cut edge of the
anterior rectus sheath laterally.
Attention was then paid to the reconstruction of the abdominal wall defect from
the previous large hernia. Skin flaps were raised and the hernia sac identified.
The anterior rectus sheat was identified bilaterally and raising of the skin flaps
continued to towards the anterior axillary line. An incision was made on the
anterior rectus sheath laterally and this was lifted off of the rectus muscles
bilaterally and inverted towards the midline and approximated with #1-PDS in a
running fasion to completely cover the hernia defect. A 20 x 16 cm piece of
Strattice was then placed as an overlay and secured to the cut edge of the
anterior rectus sheath laterally.
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