Epigastric Hernia – Open Suture Repair

Operation: 
Indication:
Date:
CEPOD:
Surgeon:
Assistant:
Anaesthetist:
Anaesthetic:
ASA Grade:
WHO Checklist:
Antibiotics:
Urinary Catheter:
Patient Position:
INCISION:
Longitudinal incision over herniation in midline

FINDINGS:
Epigastric hernia ...cm defect with pre-peritoneal fat herniation.
Contained only pre-peritoneal fat appearing healthy, no bowel involvement.

PROCEDURE:
Herniations cleared all round.
Reduction of herniated fat.
Ensured adequate clearance of fascia all around.

CLOSURE:
No 1 Ethilon interrupted fascial sutures closing hernial defect.
Subcutaneous tissue approximated with 2.0 Vicryl.
3.0 Monocryl Subcuticular sutures to skin.
Dressings applied

POST OPERATIVE INSTRUCTIONS:
Observations Q4H
Post op bloods tomorrow (ddmmyy)
Diet: Eat and Drink as tolerated
LMWH at 18:00 hours
To avoid excessive straining 4-6/52