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Indications

Procedure (Mayo repair)

1. GA + Supine
2. Dissect down to hernia sac
   • curved infraumbilical incisio
   • Dissect subcutaneous tissue, dissect from rectus sheath
   • identify hernia sac
3. Excise hernia
   • open sac, reduce contents (usually omentum)
   • Ligate sac and excise to level of fascia
4. 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
5. Close
   • Close in layers