PMC3192511_01
A 4 cm skin incision was made in the left inguinal region and carried down to the peritoneum to open the hernia sac
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F1
A 4 cm skin incision was then made in the left inguinal region and carried down to the peritoneum through the hernia sac [Figure 1].
The bowel resection was performed extracorporeally through the hernia sac, and an anvil was placed in the proximal end of the colon over a purse-string suture
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F2
Bowel resection was performed extracorporeally, and an anvil was placed at the proximal end of the colon, over a purse-string suture [Figure 2].
After the hernia sac was clamped with Kelly forceps, pneumoperitoneum was re-established
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F3
After the hernia sac was closed with a Kelly forceps, pneumoperitoneum was re-established [Figure 3].
At the end of the operation, the patient had only a hernia repair wound and five trocar wounds
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F4
Thereafter, the hernia sac was ligated in the neck and the inguinal hernia was repaired with a mesh [Figure 4].