 The fascia was incised in the midline, muscle fibers were splint in the midline, the peritoneum was grasped with hemostats and with a #10 Bard Parker blade after incision was made with Mayo scissors. 
The fascia was incised in the midline , muscle fibers were splint in the midline , the peritoneum was grasped with hemostats and with a # 10 Bard Parker blade after incision was made with Mayo scissors .