Fig. 4From: 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 reportCurative surgery for umbilical hernia. a Closure of the hernia orifice with simple interrupted sutures. b The hernia orifice after suture closure observed from inside the peritoneal cavity. c Temporary securing of the mesh. d Securing the mesh using the double-crown methodBack to article page