Lap Ventral hernia
Date of Surgery -
Preop Diagnosis - ventral hernia
Postop Diagnosis - same
Surgeon - Dr. Luk / Dr. Tran
Assistant Surgeon -
Anesthesia - General Anesthesia
Blood Loss - Minimal
Complication - None
Findings - ventral hernia
Specimens - hernia content
Indication- ventral hernia
Procedure Performed-
laparoscopic repair of ventral hernia
Patient comes in with the above diagnosis and was consented for the above procedures. Risks, benefits, and alternatives were discussed with patient, which includes, but are not limited to, postoperative or chronic pain, bleeding, wound infection, hematoma, post-operative abscess, mesh infection, or need for further procedures or workup. Other Complications may include deep vein thrombosis (blood clots), as well as other side effects affecting other organ systems such as the heart or lungs, and in rare circumstances, death as a result of the above complications. During our discussion, the patient is aware and agreed that mesh will be used for the repair. The patient understands and agrees to proceed with the proposed procedure.
The patient was seen in preop holding area.
The patient was given preop antibiotics.
The patient was then brought to the operating room where the patient was placed in a supine position.
Patient underwent general anesthesia without any complication. The patient was prep in the standard fashion
5 mm trocar was used to enter the abdominal cavity under direct vision.
The trocar was placed in the paramedian location far from the hernia. This was done without any complication.
Next CO2 gas was used to insufflate abdominal cavity.
Next 1 additional trocar was placed in the upper quadrant under direct vision.
The hernia was identified.
There is some omentum incarcerated in the hernia and this was taken down using combination of atraumatic grasper as well as ultrasonic laparoscopic dissector.
Once the hernia is free of incarceration, then we chose the appropriate size mesh.
We chose a mesh to that is at least a 4 cm overlap from the edge of the fascial defect.
In this case we chose a -- inch mesh
It is placed into the abdominal cavity through the large trocar.
It is unfurled and then positioned into place to cover the defect.
Once it was position in satisfactory position, it was tacked into place.
The mesh was anchored circumferentially using the tacking device.
Once we are satisfied with the repair, we checked to make sure there is no bleeding or complication.
There was none.
Hemostasis was obtained completely.
At the end of the case, counts were carried out. Instrument, sponge, and needle counts were completed and reported to me as correct.
The trocars were then removed, CO2 gas was released from the abdominal cavity.
All defects were closed using absorbable sutures.
The patient tolerated procedure well transferred to recovery room in stable condition