 We then made an infraumbilical incision with a 15-blade knife and then further extended with electrocautery and with curved mosquito clamps down to the rectus fascia where we made stay sutures of 3-0 Monocryl on the anterior and posterior sheaths and then opened up the fascia with the curved Metzenbaum scissors. 
We then made an infraumbilical incision with a 15 - blade knife and then further extended with electrocautery and with curved mosquito clamps down to the rectus fascia where we made stay sutures of 3 - 0 Monocryl on the anterior and posterior sheaths and then opened up the fascia with the curved Metzenbaum scissors .