INCISION:
Longitudinal incision over herniation in midline
FINDINGS:
ParaUmbilical hernia 1cm defect with pre-peritoneal fat herniation.
Contained only pre-peritoneal fat appearing healthy, no bowel involvement.
PROCEDURE:
Herniations cleared all round.
Excess herniated fat suture transfixed.
Ensured adequate clearance of fascia all around.
CLOSURE:
No 1 Ethilon interrupted fascial sutures closing hernial defect.
Subcutaneous tissue approximated with 2.0 Vicryl.
3.0 Monocryl Subcuticular sutures to skin.
Dressings applied