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.