PMC6717088_01
CT cut through the hernia in the right lower quadrant. By CT, it measured 8 cm in diameter. The skin and some subcutaneous tissue were intact over the hernia defect.
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On 11/28/2016 a CT of the abdomen was obtained (Fig. 1).
Rectus abdominis muscle transplant. Top: The rectus muscle and posterior rectus sheath beneath are mobilized. Bottom: After dividing the muscle superiorly, it is rotated to fill the contralateral hernia defect and circumferentially sutured in place.
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The inferior deep epigastric vessels were maintained intact (Fig. 2, top). The peritoneum from the edges of the hernia defect was used to cover the knots of the nonabsorbable sutures (Fig. 2, bottom).