Epigastric Hernia; Open Suture Repair

Operation / By

 OPERATION: Epigastric Hernia Open Suture Repair

 PRE OP

  • ASA:
  • Antibiotics:
  • BMI:
  • Catheter: NA
  • VTE Prophylaxis: Checked
  • Patient position: Supine

INTRA OP

  • Incision/Access: Longitudinal incision over herniation in midline
  • Findings: Epigastric hernia 2 cm defect with pre-peritoneal fat herniation
  • Procedure:

Herniations cleared all round

Contains only pre-peritoneal fat (appears healthy), no bowel involvement

Reduction of herniated fat

Ensured adequate clearance of fascia all around

  • Closure:

No 1 Ethilon interrupted fascial sutures closing hernial defect

Subcutaneous tissue approximated with 2.0 Vicryl

3.0 Monocryl Subcuticular sutures to skin

Dressings

 POST OP 

  1. Home later today all being well
  2. To avoid excessive straining 4-6/52