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This was an interesting approach
https://www.frontiersin.org/articles/10.3389/fsurg.2021.810212/full
Thank you ajm222 for postingReminded me of Dr. Andreas Koch’s “reinforced Shouldice.”
https://www.youtube.com/watch?v=XpR0ww1845o&t=2s
See at 15:50Does anyone know who is doing tissue AND mesh in the U.S.?