Concluded Case

what are you prescribe

C/o pain abdomen with swelling mid abdomen History Laparotomy Vitals Bp 130/80mm/hg Diagnosis Incisional hernia with cholelithiasis Management Surgical

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Herneal repair by mess ING Laparoscopic cholecystectomy Avoid fatty fried food Maintain adequate diet prescribe by diet ecien Adv to maintain weight Avoid staring IncreSe intraabdmi all pressure

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A laparoscopic cholecystectomy is the first priority during the laparoscopic surgery a mesh can be placed in the epigastric hernia,in the same sitting as the defect is small Tab UDCA 300 mg B.D for 2 months for fatty liver Change in lifestyle with dietary fat and oil restrictions along with exercise

Herneal repair by mess ING Laparoscopic cholecystectomy Avoid fatty fried food Maintain adequate diet prescribe by diet ecien Adv to maintain weight Avoid staring IncreSe intraabdmi all pressure

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FATTY. LIVER VENTRAL. ABDOMINAL HERNIA.. SLUDGE. G. B NICELY DISCUSSED. IN DETAILS

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Laparoscopic cholecystectomy with open incisional hernia repair with retrorectus meshplasty. Prefer different surgical team for hernia repair and avoid the repair in case of difficult cholecystectomy or any major bile leak.

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