Fig. 4From: Needlescopic surgery for large umbilical hernia in a patient with morbid obesity using intraperitoneal onlay mesh with fascial defect closure: a case reportIntracorporeal procedure for umbilical hernia. a Palpation of the hernial orifice (circle). b Measurement of the hernial orifice. c Closure of the hernial orifice with simple interrupted sutures. d Temporarily securing the mesh with an attachment to help facilitate deployment. e Securing the mesh using the double-crown techniqueBack to article page