The patient was taken to the operating room where she was placed in supine position and induced under general anesthesia. A Foley catheter was placed to decompress the bladder and the abdomen was then prepped and draped in sterile fashion. A curvilinear incision was made in the midline immediately infraumbilical and the subcutaneous tissue was divided using electrocautery. The fascia was identified and #2 0 Maxon stay sutures were placed on each side of the midline. The fascia was divided using electrocautery and the peritoneum was entered. The small bowel was identified. and the Hasson trocar was placed under direct visualization. The trocar was secured to the fascia using the stay sutures.