Umbilical Hernia Repair with Mesh

Anesthesia Implications

Position: Supine, both arms extended
Time: 30-60 min (short)
Blood Loss: Low (10-50 ml)
Post-op Pain: Minimal (1-3)
Maintenance Paralytic: Ask surgeon

very quick procedure depending on the surgeon. It would be wise to use an approach that allows the patient to wake up quickly.

Some surgeons like paralytics to be used to keep the abdominal wall from tensing/flexing during the procedure.

A hernia is any protrusion/bulge out of the tissues that normally contain it. The abdominal wall contains multiple tissues including muscle and connective tissue which spans from the xiphoid process to the pubic symphasis and iliac crest.

Abdominal hernias may be classified as ventral, groin (inguinal and femoral subclassifications), pelvic, and flank.

Further classification may be used in conjunction with the etiology: congenital (such as gastroschisis or omphalocele) and acquired (weakening or disruption of the wall tissues).

Approximately 5 million American’s have this hernia type. The majority are groin hernias.

Abdominal hernias are primarily caused by a weakening of the tissues contain the abdominal viscera.