After infraumbilical transverse skin incision, expose the anterior rectus sheath with two Langenbeck retractors and incise it transversely with the scalpel. Retract the medial edge of the rectus muscle with the retractor and insert the dissecting balloon. Slides it on the posterior lamina of the rectus sheath to the pubic bone. Under direct vision with the 0° laparoscope, balloon dilation will bluntly dissect and thus help to clearly identify the guiding structures of the pubic bone, rectus muscle, and epigastric vessels. Remove the balloon and arm the incised anterior rectus sheath with braided size 0 absorbable sutures.
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Access to the preperitoneal space
Inserting the laparoscope and first working trocar
Now, insert a Hasson trocar is inserted and securely fixed with the preplaced sutures. In most cas
Now, insert a Hasson trocar is inserted and securely fixed with the preplaced sutures. In most cas
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