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She had SCDs on, which was functional. She was prepped and drapped in supine fashion. A skin incision was made in the left inguinal region. We did not go through the previous incision. We just went superior and medial to this. We went down to the external oblique and cleaned it off. We then opened up the external oblique along the direction of its fibers. We identified a good size indirect inguinal hernia. The direct space actually was well maintained. I then was able to do a high dissection of this moderate size left indirect inguinal hernia. I then reduce this. I use media Ethicom prolene hernia system mesh plug...
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