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There was no indirect sac on the anteromedial surface of the cord. The anteromedial side of the cord was dissected at the deep ring to demonstrate preperitoneal fat and peritoneal reflection.
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To keep the bulge out of the way during the planned tension free (Lichtenstein) mesh repair, the floor was imbricated, suturing the falx (transverses aponeurotic arch) down to iliopubic tract and inguinal ligament (modified Bassini repair).
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