How is open tecnhique for inguinal hernia?

Simple high ligation of sac (anatomically isolate hernia sac, ligate at neck of hernia sac, and removal of the sac If simple ligation of the sac is combined w/ tightening of internal ring the Marcy repair) Repair of hernia sac (management of sac, high ligation of sac and excision of sac, repair of transverse fascial defect) Closing or decreasing size of internal ring by suture is required in most indirect hernias, transversal fascia plication Surgical Meche (posthesis)