Intraoperative photographs and corresponding cross-sectional drawings revealing the various stages of intraoperative repair using silk mesh. Initial elliptical skin incision around the hernia revealing the ventral midline incision from the previous exploratory celiotomy and incision from the previous repair attempt (A). Implantation and suturing of the silk mesh extraperitoneally under the hernia sac (B). Closure of the hernia sac overlying the silk mesh (C). Corresponding figures depict tissue layers (D–F).