 The island was laid in the graft for the visceral liner, and it was sutured in place with running 4-0 Prolene suture with pledgetted 4-0 Prolene sutures around the circumference. 
The island was laid in the graft for the visceral liner , and it was sutured in place with running 4 - 0 Prolene suture with pledgetted 4 - 0 Prolene sutures around the circumference .