A 55 years old lady, severe asthmatic from 30 years for which she requires inhaler daily, presented with 2 x 2 cm painful, reducible umbilical hernia. As General Anesthesia was contraindicated in a view of long duration of Asthma and pre operative PFT showed severe expiratory limitation, she was posted for Composite Ventral Patch Repair of Umbilical Hernia under Regional Anesthesia. Video edited by - Dr. VimalKumar Dhaduk, Fellow Minimal Access Surgery Apollo Hospitals Chennai.
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