There are 2 surgical approaches in hernia repair surgery: the open and the laparoscopic one. An approach is called open, when the surgeon makes a single incision near the location of the hernia, dissects the surrounding tissues and repairs the hernia under direct vision.
In general, we call the largest areas of land on earth the continents of the earth.
A gulf is a large body of water, sometimes with a narrow mouth, that is almost completely surrounded by land. It can be considered a large bay. The world's largest gulf is the Gulf of Mexico, with a total surface area of about 1,554,000 square kilometers (600,000 square miles). It is surrounded by Mexico, the southern coast of the United States, and Cuba, and contains many bays, such as Matagorda Bay (Texas) and Mobile Bay (Alabama).