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The artificial sac is reduced step by step
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The artificial sac, silo type, is gradually reduced by tying over and over until the intraabdominal contents are pushed back into the peritoneal cavity
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The artificial sac is removed and the secondary closure proceeds, note the small round defect left after total reduction
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The artificial sac of prolene mesh, is reduced by suturing over the sac
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The sac is gradually reduced by placing the suture line below the previous one
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The artificial sac, using nylon fabrics, is reduced by tongue blade
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The tongue blade at the top of the sac is hung up to prevent kinking of the herniated bowels
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The artificial sac is rolled over the tongue blade to reduce the intra-abdominal contents back into the peritoneal cavity
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Silver sulfadiazine, one of the useful antiseptic cream, is applied over the sac to prevent infection.
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In about 7 days, the sac is completely reduced and all the intra-abdominal contents are push back into the peritoneal cavity
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