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. |