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 in the United States in terms of land area (it is larger in area than all but 18 of the world's nations) at 570,380 square miles (1,477,261 kmÂ²), over twice as large as Texas, the next largest state.