3%) stated that they would not close the peritoneum at all, or close the parietal peritoneum only when the visceral peritoneum prevented closure of the rectus sheath
Both the medial flaps of the anterior rectus sheath
were mobilised from the rectus muscle and brought to the midline for apposition and closure of hernial defect.
1) The source of haemorrhage in the rectus sheath
is from branches of the inferior epigastric artery, or from a tear in the muscle.
block (RSB) has been described both as a sole anaesthetic (4) and for preoperative analgesia in procedures involving midline (bilateral block) or paramedial incisions (unilateral block).
A) At the umbilicus, a corium segment (5 x 4 cm) was incised, and the posterior rectus sheath
was incised cranial (forward) to allow one finger to go through easily.
The Winslow pathway involves internal thoracic (mammary) arteries that supply the external iliac arterial flow via the anastomoses between superior epigastric and inferior epigastric arteries into the abdominal rectus sheath
Third the prosthesis adheres early to the posterior rectus sheath
and renders it inextensible permitting no further herniation.
This decreased accuracy at the IU location has been suggested to occur due to the constitution of the rectus sheath
affecting the formation of the linea alba and making identification of the borders more challenging (Barbosa et al 2013).
Spontaneous rectus sheath
hematoma (SRSH) is an uncommon cause of abdominal pain, with an estimated incidence of 1 in 10,000 emergency visits.
This is due, at least in part, to the difficulties of finding the rectus sheath
and suturing through the layers of a thicker abdominal wall through a relatively small hole.
hematoma is a collection of blood within the abdominal wall musculature or fascia.
The final innovation: An isolated strip of fascia was suspended by free sutures that were tied to the abdominal wall or attached on top of the abdominal rectus sheath
The infection had tracked up through the rectus sheath
bilaterally, with associated myonecrosis, and complete separation of the muscle from the anterior and posterior rectus sheath
The mass was excised totally along with adjacent healthy muscle fibers and overlying anterior rectus sheath
This near-complete silo-wrap was then sutured to the rectus sheath
with nonabsorbable polypropylene No.