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.
Alaska is the largest state by total area, land area, and water area. It is the 7th largest country subdivision in the world. San Bernardino County is the largest county in the contiguous U.S. and is larger than each of the nine smallest states; it is larger than the four smallest states combined. Michigan is second (after Alaska) in water area, and first in water percentage