58 years old female, presented with swelling at umbilicus since last 25 years , progressed to attain present size , irreducible since last 6 months, now started pain around swelling since last 2 months.
No previous operation
No comorbidity
CT scan abdomen revealed- Primary umbilical hernia with diverication of recti
e-TEP RS done
Operation time ( Anaesthesia time ) - 82 min
Complete operation step by step