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CT Scan sagittal view of the umbilical hernia (blue arrow).
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A computerised tomography (CT) scan of her abdomen was performed to assess the location and extent of the abdominal wall hernias (Fig. 1, Fig. 2, Fig. 3, Fig. 4).
CT scan axial view of the right upper quadrant incisional hernia (blue arrow) through the right Rectus abdominis muscle (orange arrow).
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A computerised tomography (CT) scan of her abdomen was performed to assess the location and extent of the abdominal wall hernias (Fig. 1, Fig. 2, Fig. 3, Fig. 4).
Right upper quadrant incisional hernia (blue arrow) in relation to the falciform ligament (green arrow).
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The right upper quadrant hernia was initially identified (Fig. 5) and the hernia neck exposed (Fig. 6).
Intra corporeal suturing of the hernia neck with a v-loc  non absorbable suture.
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A V-Loc  non-absorbable suture was used to close the hernia neck laparoscopically and the suture was subsequently secured to the abdominal wall with gallbladder clips (Fig. 7).
Ventralite  dual layer mesh over the right upper quadrant tissue repair.
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It was secured to the abdominal wall using AbsorbaTack  absorbable tacks (Fig. 8).
Umbilical hernia neck exposure (blue arrow).
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The umbilical hernia was subsequently visualized (Fig. 9) and the neck closed with a V-Loc  suture.
Closure of the umbilical hernia neck with a V-loc  suture and gallbladder clips (blue arrow) used to secure the suture to the abdominal wall.
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The suture was also secured to the abdominal wall with gallbladder clips (Fig. 10) to prevent suture slippage.
Two separate Ventralite  meshes over umbilical defect (blue arrow) and right upper quadrant defect (green arrow) showing the completed repair. The right upper quadrant mesh was placed horizontally and the umbilical mesh vertically on the abdominal wall.
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A Ventralite  mesh was applied over the tissue repair with AbsorbaTack  sutures (Fig. 11).