A 74-year-old man presented with a large left inguinal hernia. He reported that it would reduce on lying supine at night. He had no pulmonary, GI or GU symptoms and had had a recent normal colonoscopy.
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The patient was taken to the operating room for repair of the hernia. After induction of anesthesia, reduction of the hernia mass was begun prior to the prep. A funnel was made with the surgeonís left hand along the inguinal canal, tapering toward the deep ring. The scrotal contents were gently manipulated to allow loops of bowel to slide back into the abdomen.
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