The patient illustrated here came with a recurrent left inguinal hernia. During the previous surgery, the cord was extensively skeletonized. The recurrence came through a defect of the floor and the sac contained momentum. The sac was pushed back into the peritoneum without excision. A plug was then placed in the defect. Following, a piece of mesh was used to patch the floor using a running 0 prolene.
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| Recurrent defect of the inguinal floor |
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| Mesh plug placed in defect |
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| Mesh patch to inguinal floor |
