The existing skin scar is completely excised.
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Excision of the skin scar
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Exposure of the fascial defect
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Opening of the abdominal cavity
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Local adhesiolysis
The local adhesiolysis of visceral organs from the hernia sac and the adjacent abdominal wall allows for better visualization, preventing iatrogenic bowel lesions during further preparation of the omental bed. Subsequently, the abdominal cavity is protectively covered with a warm, moist cloth.
Note: An inter-enteric adhesiolysis should only be performed if there are corresponding symptomatic complaints.
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Preparation of the anterior fascia
Incision of the rectus sheath
Incision of the rectus sheath from the fascial edge on both sides of the linea alba with opening of
Incision of the rectus sheath from the fascial edge on both sides of the linea alba with opening of
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