An elliptical skin incision over the dome of the hernia, skin flaps are dissected up & down

The sac is identified and dissected till the neck which is known by the glistening white fibers of the linea alba

The sac is opened at the NECK, the contents are reduced

After division of the adhesions. The sac is excised

The defect is enlarged on both sides till the red fibers of the recti appear

Three to five mattress sutures are inserted so as to overlap the upper over the lower edge. The remaining free edge is sutured to the front of the rectus sheath

A subcutaneous drain is inserted to be removed after 48 hours

Stitches are removed after 7 to 10 days.