After the application of local anesthesia, a vertical skin incision is made one third of the distance from the umbilicus to the pubic symphysis. The linea alba is divided and the peritoneum entered after it has been picked up to prevent bowel perforation.
Following the application of local anesthesia, a vertical incision is made in the abdomen, one-third of the way down from the umbilicus to the pubic symphysis. The linea alba is divided and the peritoneum is accessed after being carefully lifted to avoid intestinal injury.