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after anesthesia the surgeon will make a skin incision five inches in length in the groin above the area of the hernia the surgeon will then dissect down through the muscle layers of the abdominal wall to gain access to the hernia site you the next incision dye sex through the hernia defect in the inguinal canal and reveals the hernia and/or hernia sac which is simply the peritoneum that lines the inside of the abdomen the surgeon gently pushes the contents of the hernia sack back into the abdomen or dissect the contents free from the hernia sack and returns them back into the abdomen the hernia sack is then closed with sutures the hernia defect an inguinal canal are closed with sutures and a piece of mesh patches placed that is used to help reinforce the hernia defect the defect or weakness in the muscle tissue needs to be repaired in order to reduce the risk of reoccurrence finally the muscle layers and other tissues are sewn together and the skin is clos