 The proximal sac was then dissected free of the cord up to the peritoneal reflection at the internal ring where it was ligated with a #3-0 Vicryl stick tie and a #3-0 Vicryl free tie. 
The proximal sac was then dissected free of the cord up to the peritoneal reflection at the internal ring where it was ligated with a # 3 - 0 Vicryl stick tie and a # 3 - 0 Vicryl free tie .