TAPP UHR with primary closure of the defect and prolene mesh underlay. This is state of the art in surgical management of umbilical hernia. The TAPP technique ensures no contact of mesh with the intestines. The mesh is placed flat with excellent coverage of a closed defect. See "TAPP UHR upside down" video that shows a flipped horizon which may make it easier for some surgeons to perform the reconstruction. |