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[普外] 肋下切口疝,Metin Ertem MD.FACS

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发表于 2018-1-12 20:45:43 | 显示全部楼层 |阅读模式
 楼主| 发表于 2018-1-12 20:46:02 | 显示全部楼层

                               
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in this case, there was an incisional hernia that was caused as a result of  open cholecystectomy. We repaired the hernia with laparoscopic techniques. We used three trocars from the left side of the patient. one 10 mm and two 5 mm tracers were inserted. Firstly, The hernia sac cavity was evacuated and some additions were released. The defect was closed with  two running sutures. V-loc . after closing the defect was covered with mesh . DynaMesh IPOM . The mech was fixed the wall with absorbable tacks and the four transfascial sutures. at this porsesure, the abdomen pressure was reduced.
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