the ventral midline incision was opened. Sharp and blunt dissection was used in
ID: 89637 • Letter: T
Question
the ventral midline incision was opened. Sharp and blunt dissection was used in defining the hernia sac. the hernia sac was opened adn the fascia examined. The hernia defect was sizable. careful inspection was utilized to uncover any addtional adjacent fascial defects. Small defects were observed on both sides of the major hernia and were incorporated into the main hernia. the hernia sac was dissected free of the surrounding sub-cutaneous tissues and retained. prolene mesh was then fashioned to to one side with running #0 prolene suture. interrupted prolene sutures were placed on the other side and tagged untied. the hernia sac was then sutured to the opposite side of the fascia with vicryl suture. the prolene sutures were passed through the interstices of the prolene mesh and tied into place, ensuring that the prolene mesh was not placed under tension. excess mesh was excised. jackston-pratt drains were placed, one on each side. running sub-cutaneous suture utilizing vicryl was placed, after which the skin was stapled. What are the Diagnoses?
Explanation / Answer
Answer:
The diagnoses for the above case are as follows:
a. Preoperative diagnosis: Ventral hernia
b. Postoperative diagnosis: Ventral hernia
Procedure performed: Repair of ventral hernia with mesh
A ventral hernia is a bulge of tissues through an opening of weakness within the abdominal wall muscles. It can occur at any location on your abdominal wall. Many are called incisional hernias because they form at the healed site of past surgical incisions.
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