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Open Epigastric Hernia Repair Without Mesh for a 1-cm Incarcerated Hernia

Shirin Towfigh, MD
Beverly Hills Hernia Center

1. Introduction

2. Injection of Local Anesthetic

3. Incision

4. Hernia Sac and Fat Identification and Excision

5. Defect Identification and Preparation for Closure

6. Two-Layer Defect Closure (for Diastasis)

  1. Interrupted Sutures
  2. Running Suture

7. Approximation of Subcutaneous Fat

8. Interrupted Subdermal Sutures

9. Cosmetic Skin Closure with No-Knot Technique

10. Post-op Remarks