**6. Insertion and placement of mesh by "Tail Pull" technique through 5 mm port**

The "Tail Pull" technique is also innovated and used to insert the adequate size mesh. A light weight polypropylene mesh of 15 × 12 cm size is rolled to the thinnest possible thickness along its width. A No. 1 silk thread of 20 cm length is tied at one end of the rolled mesh (**Figure 15**). The long silk thread tail is grasped with Maryland dissector and then inserted through a 5 mm working port. Maryland dissector is then taken out leaving the end of the tail in the PPS (**Figures 16** and **17**). This end of tail is then grasped by inserting Maryland dissector through other working port. The tail is then pulled inside which facilitate the insertion of mesh in PPS through 5 mm port (**Figures 18** and **19**). The mesh is then unrolled inside after cutting the thread and placed over the myopectineal orifice (**Figure 20**). It is fixed with tackers over the cooper's ligament. This "Tail Pull" technique facilitate the insertion of mesh as only the mesh is traversing through the trocar cannula while conventionally the mesh is introduced along with a grasping instrument which need a bigger lumen to insert mesh, as mesh and instrument both occupy the space of lumen. The use of a lightweight mesh reduces complications of chronic pain, seroma formation, etc. [10].
