Preparation of the Lower Abdomen

■ After the abdominal fascia has been identified, the cutaneous/fatty flap is dissected cranially along the superficial fascia. The correct layer can be easily dissected with both sharp and blunt instruments. The perforating vessels are electrocoagulated.

■ Dissection must be performed with careful hemostasis, as otherwise there may be a drop in the Hb value later owing to the large wound surface. The abdominal fascia must be handled carefully and perforations must be avoided. Purse-string suturing can also be carried out if there is more severe bleeding. If the fascia is damaged, this must be closed immediately with 3.0 Vicryl interrupted sutures.

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