 Please also note that before placement of our pump, attention was then taken up to the left lower quadrant where an incision was then made in external oblique aponeurosis, approximately 3 cm dissection down underneath the rectus space was developed for our reservoir device, which was subsequently placed without difficulty and three simple interrupted sutures of #2-0 Vicryl used to close the defect in the rectus and at that point after placement of our pump, the connection was made between the pump and the reservoir without difficulty. 
Please also note that before placement of our pump , attention was then taken up to the left lower quadrant where an incision was then made in external oblique aponeurosis , approximately 3 cm dissection down underneath the rectus space was developed for our reservoir device , which was subsequently placed without difficulty and three simple interrupted sutures of # 2 - 0 Vicryl used to close the defect in the rectus and at that point after placement of our pump , the connection was made between the pump and the reservoir without difficulty .