O d

■ Tightening of the Abdominal Wall 80

■ Anatomical Overview 82

■ Instruments 84

■ Duplicate Patient Information 88

■ Preliminary Examinations 88

■ Photographic Documentation 88

■ Surgical Planning 89

■ Postoperative Treatment 90

o ■ Typical Findings: Indications for Tightening the Abdominal Wall 90

■ Marking the Individual Incision Line 92

■ Positioning, Disinfection 94 o ■ Tumescence 94

o a Incision 94

° ■ Preparation of the Lower Abdomen 96

■ Incision Around the Navel 96

■ Mobilization and Dissection of the Navel 98

■ Vertical Splitting of the Dermofat Flap as Far as the Base of the Navel 98

■ Complete Mobilization of the Umbilical Stalk 100

■ Dissection of the Upper Abdomen 100

■ Doubling of the Rectus Abdominis Fascia 102

■ Defining the Resection Boundaries with Upper Body Flexed at 30° 104

■ Repositioning of the Navel Using a V-shaped Incision 105

■ Pulling the Navel Out of the V-Shaped Incision with Curved Forceps 106

■ Positioning the Navel 106

■ Trimming of the Skin of the Navel and Adaptation to the V-shaped Incision 108

■ Closure of the Navel in Three Layers 108

■ Fixation of the Surplus Sections of Skin with 2.0 Monocryl Key Sutures 110

o ■ Resection of the Skin in Stages 111

■ Insertion ofRedon Drains 112

o ■ Wound Closure in Three Layers 113

■ Fitting the Abdominal Belt 114

■ Literature 118

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