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Hi William, I didn’t know . I had only one inguinal hernia at the left side of the groin. The surgeon saids me after the operation that it was a combination of direct and indirect hernia. Only ultrasound could have evaluated the anatomy of the hernia. I don’t know if surgeons perform ultrasound prior to surgery ? In France I was on the verge to get a mesh surgery before to cancel it and they didnt proposed me ultrasound exams.