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Umbilical Hernia Repair mayo stand and back table surgery setup

Diana Lei-aloha Avatar

setup author

Surgery setup images for Umbilical Hernia Repair

Umbilical Hernia Repair surgery instruments

Clamping & Occluding instruments

Penetrating Towel Clamp
Penetrating Towel Clamp
Curved Hemostat
Curved Hemostat
Kocher Forceps
Kocher Forceps
Tonsil Clamp
Tonsil Clamp
Allis Forceps
Allis Forceps

Cutting & Dissecting instruments

#3 Knife Handle
#3 Knife Handle
Metzenbaum Scissor
Metzenbaum Scissor
Straight Mayo Scissor
Straight Mayo Scissor

Grasping & Holding instruments

Debakey Forcep
Debakey Forcep
Toothed Forcep
Toothed Forcep
Adson Forceps
Adson Forceps

Retracting & Exposing instruments

Weitlaner Retractor
Weitlaner Retractor
Army-Navy Retractor
Army-Navy Retractor
Senn Retractor
Senn Retractor

Suctioning instruments

Yankauer Suction
Yankauer Suction

Suturing & Stapling instruments

Mayo-Hegar Needle Holder
Mayo-Hegar Needle Holder

What to expect during Umbilical Hernia Repair

Umbilical Hernia Repair is a surgical procedure that is performed to repair a bulge or protrusion that occurs in the abdominal wall near the belly button, known as an umbilical hernia. The hernia can cause discomfort, pain, and other complications, and the surgery involves repairing the hernia and closing the opening in the abdominal wall. The procedure is performed under general anesthesia and usually involves a small incision near the belly button.

Position
Supine

Drapes
Folded towels and a laparotomy drape will be used to drape the patient out. The bovie and suction need to be thrown off and attached to the drape.

Step 1: Incision and Dissection
The surgeon will begin by injecting local anesthetic into the surgical site. A 15 blade will then be used to make the initial incision. Once the incision is made, the bovie, Metz, debakeys, and adsons instruments will be used to carefully dissect down to the hernia. Allis clamps may be used to hold and manipulate surrounding tissue during the dissection.

Step 2: Hernia Sac Removal
After the hernia is reached, the hernia sac may be carefully dissected and removed. The sac should be sent to pathology for further examination.

Step 3: Closure of Hernia
Once the hernia sac is removed, the hernia will be closed using a PDS suture or a similar suture material. The suture should be placed carefully to ensure that the hernia is completely closed, without any tension.

Step 4: Closure of Incision
Finally, the rest of the incision will be closed with Vicryl and Monocryl sutures. The sutures should be placed in a layered closure to ensure adequate wound healing and minimize the risk of postoperative complications.

The Surgery Sparknotes

  1. Local anesthesia injected, incision made with 15 blade, bovie, Metz, debakeys, and adsons used for dissection, Allis clamps used for manipulation.
  2. Hernia sac removed and sent to pathology.
  3. Hernia closed with PDS suture or similar.
  4. Incision closed with Vicryl and Monocryl sutures.

6 responses to “Umbilical Hernia Repair”

  1. carrmommyof3 Avatar
    carrmommyof3

    We have been doing a lot of umbilical hernias lately. Really starting to get the hang of them!

    1. ajala.oberry Avatar
      ajala.oberry

      Is this the set up from an open umbilical hernia repair?

    2. Diana Lei-aloha Avatar
      Diana Lei-aloha

      Your setup looks awesome! I can definitely tell you’re getting the hang of them!

    3. Mickey Evans Avatar
      Mickey Evans

      Awesome ! I’m doing on the job training before tech school, and I helped with the set up.

  2. Christine Cooley Avatar
    Christine Cooley

    I don’t think I’ve done an umbilical hernia before, but the last hernia I scrubbed I didn’t have the Penrose open. Do I need one of those for this one?

    1. Diana Lei-aloha Avatar
      Diana Lei-aloha

      You will not use a Penrose for an umbilical hernia repair. It sounds like the hernia repair you did before was an inguinal hernia repair. Surgeons almost always use Penrose drains during inguinal repairs because it can easily and safely be used around the Van Deferens in male patients!

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