 The initial incision was made sharply at the umbilicus with a #15-scalpel blade and carried down through deeper tissues with Bovie cautery, down to the midline fascia with a #15 scalpel blade. 
The initial incision was made sharply at the umbilicus with a # 15 - scalpel blade and carried down through deeper tissues with Bovie cautery , down to the midline fascia with a # 15 scalpel blade .