 I attempted to gently pass a 3-mm trocar through the hernia sac, but it was rather difficult and I became fearful that the sac would be torn in proximal control and mass ligation would be less effective. 
I attempted to gently pass a 3 - mm trocar through the hernia sac , but it was rather difficult and I became fearful that the sac would be torn in proximal control and mass ligation would be less effective .