Indications
Procedure (Mayo repair)
- GA + Supine
- Dissect down to hernia sac
- curved infraumbilical incisio
- Dissect subcutaneous tissue, dissect from rectus sheath
- identify hernia sac
- Excise hernia
- open sac, reduce contents (usually omentum)
- Ligate sac and excise to level of fascia
- Close defect
- Grab edges of fascia with Allis clamps
- Superior fold of fascia overlapped on top of inferior fold (double breasted manner) using non-absorbable interrupted mattress sutures
- Close
- Close in layers