Method of mesh fixation
Method of mesh fixation with a suture passer. Use the suture passer to introduce the suture through the musculofascial layer, the mesh, and then back out through all layers as a mattress suture. Use four to eight mattress sutures to anchor the mesh, depen
Cutting the mesh prosthesis
Cut the mesh prosthesis to the desired size and mark its intended location on the anterior abdominal wall. The shaded area indicates the approximate outline of the ventral hernia, and the mesh is indicated by crosshatches. The mesh should extend beyond th
Demonstration of port placement
Demonstration of port placement for repair of a ventral hernia in the upper abdomen. Place the first trocar in the lower midline, 2 or 3 in. inferior to the ventral hernia. Ventral hernias in the lower abdomen require placement of the camera port in the u