Longitudinal incision over herniation in midline
Epigastric hernia ...cm defect with pre-peritoneal fat herniation.
Contained only pre-peritoneal fat appearing healthy, no bowel involvement.
Herniations cleared all round.
Reduction of herniated fat.
Ensured adequate clearance of fascia all around.
No 1 Ethilon interrupted fascial sutures closing hernial defect.
Subcutaneous tissue approximated with 2.0 Vicryl.
3.0 Monocryl Subcuticular sutures to skin.
POST OPERATIVE INSTRUCTIONS:
Post op bloods tomorrow (ddmmyy)
Diet: Eat and Drink as tolerated
LMWH at 18:00 hours
To avoid excessive straining 4-6/52