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The preperitoneum was taken down. The hernia was indeed medial to the epigastric vessels. The preperitoneal fat was further reduced. The hernia sac was completely reduced out of that area. A space was then created in the preperitoneum. A 4 x 6 inch Composix mesh was then introduced, secured to the ileopubic tract laterally and then also medially. The peritoneum was then closed over this with additional absorbable tacks. He tolerated this quite well.
I'm not finding "preperitoneum" anywhere? Does he mean perperitoneal fat? Peritoneum? Or is this a word that is used, but not able to be referenced?
Thanks for any help!