Fig. 3From: Intraperitoneal onlay mesh repair (IPOM) plus technique using a hybrid procedure of open laparotomy and laparoscopic approach (hybrid IPOM plus) for incarceration of umbilical hernia in a severely obese patient: a case reportIncarcerated umbilical hernia release. a Surgical position. b Incarceration of the omentum in the hernia sac is evident. c No perforation or necrotic changes are evident in the incarcerated small intestine. d Alexis® laparoscopic system (arrowhead) and 5-mm trocar (arrow)Back to article page