Operative Note

PROCEDURE: Umbilical hernia repair.

SUMMARY: The patient was taken to the operating room and prepped and draped in the usual sterile fashion. Supraumbilical curvilinear incision was made and carried down to the fascia using blunt dissection. Once this was done, hernia site was identified. The hernia sack was dissected free from the fascia and dropped back to the preperitoneal space. Once the fascia was clear circumferentially, the defect was closed with interrupted Ethibond sutures. Once closure was adequate, the wound was checked for hemostasis. After this, it was irrigated with sterile saline.

Next, 10 cc of 0.25% Marcaine plain was used for postoperative analgesia. The wound was then closed in 2 layers with interrupted deep dermals as well as a running subcuticular Vicryl suture. A sterile dressing was then applied. The patient was awakened, extubated, and taken to post-anesthesia care unit in stable condition. Instrument and needle counts were correct as reported to me.

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