
The surgical solution is to use a circular, flexible polypropylene screen (the patch) with a stiffer but still flexible thickening near the perimeter (binding/purfling?) to block the hole. The surgeon cuts through the skin and separates the peritoneum from the abdominal wall in an area slightly larger than the patch. The patch is then artfully crumpled to enter the small incision and re-opened with the help of the perimeter stiffener. The abdominal wall and skin incision are closed and "bob's your auntie".
I arrived at the surgical clinic at 6:30AM (got to sleep late!), was prepped by 7:30AM, surgery finished by 8:30AM, awakened 9-ish and headed home driven by my wife Helen at 10:15AM with a whacking great white corset around my midriff. I have very little pain (probably because of judicious dosing with Percoset) and can wander around at will.
I really consider modern surgery such as this amazing in terms of its convenience and brevity.
The down-side is no fishing for a month...
