Is a simple and effective method. Starting within the Opened sac, the peritoneum and underlying fibrous edges of the defect are approximated with a continuous interlocking suture of strong chromicized catgut

The sac is then excised 2 cm. distal to the suture and its cut edges are united with a continuous catgut suture

An elliptical incision is made 2 cm. lateral to the previous suture line, and the medial flaps are approximated

The muscles on either side are now drawn together. by interrupted stitches, and then the lateral aponeurotic flaps are united over the muscles with stainless steel or silk sutures