The patient was met in the preoperative holding area, patient, consent, site and procedure to be performed confirmed. All questions answered. The patient was transported to the operating room and placed on the table in supine position. General anesthesia was induced and patient was intubated without issue. The patient was secured to the table with straps and all boney areas padded. The abdomen was prepped and draped in normal sterile fashion with addition of Ioban. Timeout was done and all were in agreement.
The abdomen was entered in the right upper quadrant with Optiview trocar. The abdomen insufflated. There is noted to be no injury upon entry. Additional 5 mm ports were placed in the left upper quadrant right lower quadrant and left lower quadrant under direct vision.
There was noted to be _.
This was reduced with the help of the LigaSure. The defect was noted to be _ cm. A _ cm circular IPOM Parietene mesh was used. Four 0 PDS sutures were placed near the edge of the mesh in the cardinal directions. The mesh was introduced into the abdomen. The sutures were retrieved outside the abdomen percutaneously via 4 stab incisions around the umbilicus. The mesh was retracted up against the abdominal wall and these sutures were tied. The mesh was then secured with many SureStrap staples. The area was noted to be hemostatic. The abdomen desufflated and all ports were removed. All skin incisions were closed with 4-0 Monocryl and dressed with Dermabond.
The patient was liberated from anesthesia and transferred to PACU in stable condition.
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Author: Garrett Skinner