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. 2011 Jul 13;25(9):2773–2843. doi: 10.1007/s00464-011-1799-6
Level 5 The midline ports have the advantage of accessing both sides with equal ease and minimal risk of injuries to the inferior epigastric vessels.
All three ports made in the midline at the commencement of the procedure enable bimanual dissection right from the start.
Another technique of a 10-mm port at the umbilicus, a 5-mm port a few centimeters lower, and another 5-mm trocar laterally near the anterior–superior iliac spine is the next alternative. Overlapping mesh in the midline is thought to be easier with this technique.
Lateral ports, two in number, just lateral to the rectus muscle, used along with a midline camera port are an option.