 Next, a grasper with blunt dissector was used to reduce the hernia and withdraw the sac and using an Endoshears, the peritoneum was scored towards the midline and towards the medial umbilical ligament and lateral. 
Next , a grasper with blunt dissector was used to reduce the hernia and withdraw the sac and using an Endoshears , the peritoneum was scored towards the midline and towards the medial umbilical ligament and lateral .