 A generous midline skin incision was made from the midepigastrium down to the symphysis pubis, deep into the rectus fascia, the rectus muscle separated in the midline, and exploration carried out with the findings described. 
A generous midline skin incision was made from the midepigastrium down to the symphysis pubis , deep into the rectus fascia , the rectus muscle separated in the midline , and exploration carried out with the findings described .