Inguinal hernia repair cpt code mesh

In indirect hernia, free the deep inguinal ring completely and follow the cord into the ring in order to positively identify and spare the spermatic vessels. Splay open the hernia sac and reduce its contents. Close the base of the hernia sac with an outer purse string suture and remove the excess. Tip: Once you have excised the excess hernia ...

Weak spots can develop in the layer of muscle, resulting in the contents of your abdomen, along with the inner layer, pushing through your abdominal wall. This produces a lump called a hernia. An inguinal hernia happens at the inguinal canal. This is a narrow passage through your abdominal wall. An inguinal hernia.A lumbar hernia (CPT code 49540) is when the posterior abdominal wall or retroperitoneal outpouchings occur between the 12th rib and the iliac crest. ... and plugged. Mesh was tacked to the surrounding muscle layers and then placed over the entire floor. ... In the CPT Index, we are going to search Hernia Repair/Inguinal/Initial, child 5 years ...In ICD-10-PCS, incisional, ventral, and umbilical hernia repairs are all coded to repair of the abdominal wall. Approach and root operation determinations are critical to assigning the correct code for these repairs as with the others we have already discussed. Repair, abdominal wall, open approach = 0WQF0ZZ. Occasionally, for patients who have ...CPT ® revised the codes and concepts used for coding for hernia repair. These are significant changes for surgical procedures that are used very frequently. At the start of the repair codes, the AMA has new language that says “The hernia repair codes in this section are categorized primarily by the type of hernia (inguinal, femoral, lumbar, omphalocele, anterior abdominal, parastomal.)Apr 6, 2015 ... CPT Coding Resources for Surgeons: Anterior Abdominal Hernia Repair | ACS ... Medical Decision Making with CPT Code ... 2023 CPT New set of Hernia ...The Lichtenstein repair, shown in Chapter 110, represents the first widely accepted method for repair of an inguinal hernia using mesh. Since 1990, however, multiple new …Location. Albertville, MN. Best answers. 0. Feb 24, 2010. #1. Physician performs a laparoscopic procedure for hernia repair; however, finds no hernia but inserts mesh reinforcement in the inguinal area. Please advise on CPT code for this type of procedure.

Therefore, CPT code 49568 (mesh implantation) should not be reported separately with CPT code 49505 (inguinal hernia repair). REPAIR HERNIOPLASTY, HERNIORRHAPHY, HERNIOTOMY The hernia repair codes in this section are categorized primarily by the type of hernia (inguinal, femoral, incisional, etc.).Inguinal Hernia Repair CPT Code (s) 49495-49557 may be billed for services when the physician performs initial or recurrent inguinal hernia repair of reducible, incarcerated, or … Rives-Stoppa is an incisional hernia repair procedure in which mesh or other prosthesis is placed between the rectus abdominis muscle and the posterior sheath. All anterior abdominal hernia repair codes now include placement of mesh as inherent. Therefore, only the appropriate hernia repair code is reported. RivesStoppa is not reported with CPT ... Nov 30, 2022 · CPT 49623 is an add on code that may be reported with any of the new hernia codes from range 49591-49622. Of note, infected mesh removal is still coded with CPT 11008 in 2023. 7. Parastomal Hernias: Parastomal hernia repairs are now coded with their own codes (CPT 49621-49622) and do not fall under the new anterior abdominal wall hernia repair ... CPT Code 49520, Hernioplasty, Herniorrhaphy, Herniotomy Procedures, Hernia Open Procedures - Codify by AAPC ... Removal of Mesh, Repair of Recurrent inguinal hernia and Excision of Sinus Tract. ... I had one coder express the opinion that this should be billed as 49520 (recurrent inguinal hernia repair) due to the pathology report (below op ...

Inguinal Hernia Repair CPT Code (s) 49495-49557 may be billed for services when the physician performs initial or recurrent inguinal hernia repair of reducible, incarcerated, or …LAPAROSCOPIC INGUINAL HERNIA REPAIR. CPT® CODE: 49650‐ LAPAROSCOPIC SURGICAL REPAIR INITIAL INGUINAL HERNIA. MODIFIER: 50‐ BILATERAL PROCEDURE. DIAGNOSIS CODES: 550.90‐ INGUINAL HERNIA, UNILATERAL OR UNSPECIFIED WITHOUT MENTION OF OBSTRUCTION OR GANGRENE. 550.92‐ …Inguinal hernia repair is an extremely common operation performed by surgeons. More than 800,000 repairs performed annually. An inguinal hernia is an opening in the myofascial plain of the oblique and transversalis muscles that can allow for herniation of intraabdominal or extraperitoneal organs. These groin hernias can be divided into … Product Details. Parietex™ mesh provides a custom-designed mesh for laparoscopic inguinal hernia repair. It combines Parietex™ 2D weave with Parietex™ 3D weave. The 2D weave is lightweight and macroporous with a design that is rigid, making it ideal for laparoscopic applications due to its handling properties. Mar 13, 2015 ... Medical Coding for Hernia Repair https://www.cco.us/ Laureen: Q: (Hernia Repair) My surgeon did an open parastomal hernia repair with mesh ...

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17 hours ago ... Wiki Open Hernia with laparoscopy mesh repair cpt code. Totally extraperitoneal repair of inguinal hernia: Sir Ganga Ram. The following ...49654 (Laparoscopy, surgical, repair, incisional hernia [includes mesh insertion,when performed]; reducible) with a diagnosis of 553.21 (Ventral hernia, incisional) 49650-59 ( Laparoscopy, surgical; repair initial inguinal hernia ) with a diagnosis of 550.90 ( Inguinal hernia, without mention of obstruction or gangrene, unilateral or ...When a physician performs a hernia repair (usually an inguinal hernia) procedure at the same time as the excision of a lesion (usually a lipoma) from the spermatic cord (same surgical case), report CPT code 55520 with modifier -59 because the 2010 CPT Manual designates this as a separate procedure. When billing an ASC claim, report …Background. We propose a new open mesh hernia repair procedure for the treatment of inguinal hernias in adults aiming to improve patients' comfort ...The procedure codes for recurrent hernia are: 49565 Repair recurrent incisional or ventral hernia; reducible. Add-on code 49568 is reported along with 49565 if synthetic mesh is used. A complex procedure such as the repair of a recurrent, incarcerated hernia is coded as follows: 43566 Herniorrhaphy, recurrent, incarcerated.

I'm not sure what code to use for a open left inguinal hernia repair with plug and patch mesh. I think the codes for this surgery should be 49565 add on 49568 but I'm not sure because the 49565 doesn't say inguinal it says incisional or ventral hernia. Please read the notes below. Your input would greatly be appreicated.Significant coding changes take effect in 2023 for reporting anterior abdominal hernia repair, including: Deletion of codes 49560–49590, which describe open repair of anterior abdominal hernias. Deletion of codes 49652–49657, which describe laparoscopic repair of anterior abdominal hernias. Deletion of add-on code 49568, …Table 1: Summary of Anesthesia for Hernia Repair CPT Codes. CPT Code: Descriptor: Base: 00750: Anesthesia for hernia repairs in upper abdomen; NOS: 4: ... 40 wk gestational 35wk Premie incarcerated inguinal hernia 00836 : 6 : Lower abdominal, simple or complex Curated by: The ASA Committee on Economics. Date of last update: March …Introduction. Inguinal hernia repair is one of the most common operations performed by general surgeons, with approximately 750,000 operations done per year in the United States by surgeons who incorporate it as a part of their varied practices. Conventional open repairs without prosthetics are most often successful for small hernias.ICD 10 code for Complications due to implanted mesh and other prosthetic materials. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code T83.7. Toggle navigation. Search All ... ICD-10-CM Table of Drugs; ICD-10-CM Table of Neoplasms; HCPCS Codes; ICD-9-CM Diagnosis Codes; ICD-9-Vol-3 Procedure Code; Search All Data; 2024. …An abdominal wall hernia consists of a protrusion of intra-abdominal tissue through a fascial defect in the abdominal wall. Inguinal hernias are very common (approximately 75% of abdominal wall hernias) with other types of hernias occurring at weak areas of abdominal wall fascia[1]. Typically a hernia consists of visceral contents, a …There are two main parts to hernia repair surgery. First, the surgeon places the bulging organs or tissues back inside the abdomen. Second, the surgeon will fix the weak spot in the abdominal muscle so the hernia will not come back. This surgery can be performed using open, laparoscopic or robotic techniques. In many cases, surgeons will use a ...The vast majority of them address inguinal hernias in the groin. The average cost of hernia repair surgery without insurance is $4,000 to $11,000, though more complex procedures can exceed $20,000. Most insurance plans cover hernia surgery. Your out-of-pocket costs will vary based on whether you have insurance, the facility where the …

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Diagnosis. A physical exam is usually all that's needed to diagnose an inguinal hernia. Your doctor will check for a bulge in the groin area. Because standing and coughing can make a hernia more prominent, you'll likely be asked to stand and cough or strain. If the diagnosis isn't readily apparent, your doctor might order an imaging test, such ...Then, assuming that the patient is 5 years of age or older, submit code 49505 (Repair initial inguinal hernia, age 5 years or older; reducible) with RVUs of 15.07 as the secondary procedure for the inguinal hernia repair. Note: Mesh implantation is separately payable only when performed with open ventral and incisional hernia repairs, …Feb 13, 2023 · CPT ® revised the codes and concepts used for coding for hernia repair. These are significant changes for surgical procedures that are used very frequently. At the start of the repair codes, the AMA has new language that says “The hernia repair codes in this section are categorized primarily by the type of hernia (inguinal, femoral, lumbar, omphalocele, anterior abdominal, parastomal.) Their grading rationale states, "The patient is having an inguinal hernia repair. There is no documentation of previous hernia repairs in the past. It is not documented to be incarcerated or strangulated. This is a unilateral hernia on the left side, modifier LT is required. The correct coding with linkage for this case is: 49505/LT with 1 …Key: The codes break down into two groups based on whether the service is an initial hernia repair (49591-49596) or the repair of a recurrent hernia (49613-49618). Base Coding on Total Defect Size Under the new codes, if the surgeon repairs multiple anterior abdominal hernias in a single surgical session, you should select just one repair …Codes 49491–49651 describe unilateral hernia repair procedures; if performed bilaterally (same approach, same condition), append modifier 50 Bilateral procedure to the appropriate code to report bilateral hernia repair (e.g., bilateral recurrent inguinal hernias). If hernia repair is unilateral, use modifier RT Right side or LT Left side to ...This allows the mesh to be preperitoneal and not in contact with the abdominal cavity and viscera. Laparoscopic inguinal hernia repair, either by the TAPP or TEP method, involves placing a large mesh prosthetic that covers the entire myopectineal orifice. This allows for coverage of indirect, direct, and femoral hernias.Then, assuming that the patient is 5 years of age or older, submit code 49505 (Repair initial inguinal hernia, age 5 years or older; reducible) with RVUs of 15.07 as the secondary procedure for the inguinal hernia repair. Note: Mesh implantation is separately payable only when performed with open ventral and incisional hernia repairs, … According to the AMA CPT Section Guidelines: CPT code 55520 If the Excision of a lesion of the spermatic cord was performed as a DISTINCT Procedure and NOT as a Component of 49505 inguinal hernia rep... [ Read More ] billing for inguinal hernia and spermatic cord lipoma. Per CPT Assistant, September 2000 Page: 10 Category: Coding Consultation ... 49654 (Laparoscopy, surgical, repair, incisional hernia [includes mesh insertion,when performed]; reducible) with a diagnosis of 553.21 (Ventral hernia, incisional) 49650-59 ( Laparoscopy, surgical; repair initial inguinal hernia ) with a diagnosis of 550.90 ( Inguinal hernia, without mention of obstruction or gangrene, unilateral or ...

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When the muscles in a certain area of the body become weaker, it is difficult for them to hold the organs in their appropriate spots throughout the individual's system, which event...Answer: Code 55520 (Excision of lesion of spermatic cord [separate procedure]) properly describes excisions of the type your surgeon performed. But 55520 is a designated "separate procedure" that occurs here with a related primary procedure, the hernia repair 49505 (Repair initial inguinal hernia, age 5 years or older; reducible). …CPT/HCPCS. Code. Prompt Pay. Price. (1). 49560. $4,000 ... Laparoscopy, surgical; repair initial inguinal hernia ... Implant mesh open hernia repair/debridement ...CPT Code 49501. CPT 49501 describes the repair of an initial inguinal hernia in patients aged six months to younger than five years, with or without hydrocelectomy, whether incarcerated or strangulated. CPT Code 49505. CPT 49505 describes the repair of an initial inguinal hernia in a patient aged five years or older that is reducible.Congenital diaphragmatic hernia is produced by the failure of the diaphragm to fuse properly during fetal development, allowing the abdominal organs to... Try our Symptom Checker G...May 26, 2021 ... The objective of hernia repair surgery is to treat open wounds in the abdominal wall, repair the gap, and return the protruding tissues and ...T2403. . Repair of umbilica/paraumbilical hernia requiring removal of previously inserted mesh. 08/10/2020. T2409. Robotic assisted repair of umbilical/paraumbilical hernia using mesh. 07/02/2024. T2410. Robotic assisted repair of … ….

Laparoscopic inguinal hernia repair originated in the early 1990s as laparoscopy gained a foothold in general surgery. ... and the procedure was attended by a resident in only 13% of the studies. The authors suggested that this technique was being underutilized in the education of surgical residents. ... inguinal hernia repair compared with ...Op report states excision of mass and removal of mesh But then goes on to describe a cooper's ligament repair, a modified ferguson type technique. What cpt code can I use for this type of procedure. Dx is painful right inguinal hernia ThanksThe inguinal floor was extremely attenuated. I placed a piece. of mesh on the inguinal floor and anchored it circumferentially using 0. Ethibond and the hernia stapler inferior to the inguinal ligament, superior. to the internal oblique, wrapping the tails of the mesh around the cord. The mesh now was irrigated with antibiotic solution. 49495 For code 49495, go to CPT index main term Hernia Repair, subterm Inguinal, qualifier Infant Gestation, Surgery Age, and qualifier Full Term, Birth to 6 Months. Review codes in the Hernioplasty, Herniorrhaphy, Herniotomy heading of the Repair subcategory in the Abdomen, Peritoneum, and Omentum category of the Digestive System subsection in ... If it’s “laparoscopic” go to code categories 49650-49659 and choose the site and complication. Tada! Done. If it’s “open” we have a bit more work to do. First, check the diagnostic information for the location or type of hernia. These would be areas such as: inguinal, femoral, umbilical, lumbar, epigastric, or Spigelian.Feb 14, 2022 ... Note again, if you also repaired a ventral hernia, this should be indicated in the. Abdominal Core Surgery Procedure Category and the ...Code Categories. Hernia codes (K40–K46) include acquired hernias, congenital hernias (except diaphragmatic or hiatus), and recurrent hernia. Inguinal hernia K40-K40.91: This subcategory includes codes for direct inguinal, double inguinal, indirect, oblique inguinal, and scrotal hernias.This procedure may also include a hydrocelectomy. Long description: Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible. Short description: Repair of reducible initial inguinal hernia in child aged 6 months to younger than 5 years. 2.6. CPT Code 49501.Repair of inguinal hernia requiring removal of previously inserted mesh: 08/10/2020: T2004: Robotic assisted laparoscopic repair of inguinal hernia - bilateral: 09/02/2023: T2010: Primary repair of inguinal hernia - bilateral: Pre Sept 2014: T2011: Robotic assisted repair of recurrent inguinal hernia requiring mesh - unilateral 07/02/2024: T2012An adult patient presented for left inguinal hernia repair. The patient was taken to the operating room where a left groin incision was made. ... A slit was made in the mesh and the two cut edges encircled around the spermatic cord creating a new internal ring. ... The patient was extubated and in stable condition.Can CPT code 55520-59 be ... Inguinal hernia repair cpt code mesh, CPT ® 2023 provides a new add-on code for that service: +49623 (Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparoscopic, robotic) (List separately in addition to code for primary procedure))., I agree with Jodie. There is no code for laparoscopic repair of an INCARCERATED inguinal hernia, so you'd be looking at CPT 49650 or 49651. If the repair was difficult due to the hernia being incarcerated, perhaps modifier -22 could be added but documentation would be needed to support this modifier. Mary Kittredge, CPC, MA, Nov 1, 2023 · A: Report +11008 once for the removal of infected mesh. Note, however, that some coders reported denials for using this code with the new hernia repair codes. It’s probable that payers have not updated their system edits. A parenthetical under +49623 in CPT® 2023 clearly states, however, “for removal of infected mesh, use +11008.”. , I'm not sure what code to use for a open left inguinal hernia repair with plug and patch mesh. I think the codes for this surgery should be 49565 add on 49568 but I'm not sure because the 49565 doesn't say inguinal it says incisional or ventral hernia. Please read the notes below. Your input would greatly be appreicated., Google announced that it is submitting its Istio service mesh project for consideration as a project within the Cloud Native Computing Foundation (CNCF). This has been a long time ..., AHA Coding Clinic ® for HCPCS - 2011 Issue 3; ASK the EDITOR Removal and replacement of hernia mesh. A patient with a prior history of hernia repair with mesh and plug is now presenting for surgery to remove the plug and remove and replace the mesh. The ilioinguinal nerve was intentionally severed during the procedure., Code Categories. Hernia codes (K40–K46) include acquired hernias, congenital hernias (except diaphragmatic or hiatus), and recurrent hernia. Inguinal hernia K40-K40.91: This subcategory includes codes for direct inguinal, double inguinal, indirect, oblique inguinal, and scrotal hernias., Introduction. Inguinal hernia repair is one of the most common procedures performed around the world; around 20 million herniorrhaphies are done each year ().However, laparoscopic hernia repair was introduced over …, Operated by the 787-9 Dreamliner, United's South Africa-bound seasonal flight is sure to be a hit. Update: Some offers mentioned below are no longer available. View the current off..., In the ever-evolving landscape of healthcare, accurate and efficient medical coding is crucial. One important aspect of medical coding is understanding and utilizing Current Proced..., Mar 8, 2010 · Best answers. 0. Mar 10, 2010. #2. CPT code for TAPP. Yes...49650 includes the placement of mesh into the abdominal cavity to cover the defect. L. , Weak spots can develop in the layer of muscle, resulting in the contents of your abdomen, along with the inner layer, pushing through your abdominal wall. This produces a lump called a hernia. An inguinal hernia happens at the inguinal canal. This is a narrow passage through your abdominal wall. An inguinal hernia., This procedure may also include a hydrocelectomy. Long description: Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible. Short description: Repair of reducible initial inguinal hernia in child aged 6 months to younger than 5 years. 2.6. CPT Code 49501., Inguinal Hernia Repair CPT Code (s) 49495-49557 may be billed for services when the physician performs initial or recurrent inguinal hernia repair of reducible, incarcerated, or …, CPT ® Code Set. 49507 - CPT® Code in category: Repair initial inguinal hernia, age 5 years or older... CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA. Access to this feature is available in the following ..., If you get healthcare services and receive a statement or bill, you’ll see medical CPT codes on the paperwork. But what do they all mean? Here’s a guide to reading CPT codes to see..., For additional assistance, please email us: [email protected] 2021 US Reimbursement and Coding Guide (Hernia repair continued) 2021 Ambulatory 2021 CPT® Medicare 2021 ASC Payment Medicare Code Code description physician APC description nat’l avg rate Classification nat’l avg. nat’l avg. (APC) APC rate rate (Facility ..., CPT 49623 is an add on code that may be reported with any of the new hernia codes from range 49591-49622. Of note, infected mesh removal is still coded with CPT 11008 in 2023. 7. Parastomal Hernias: Parastomal hernia repairs are now coded with their own codes (CPT 49621-49622) and do not fall under the new anterior abdominal wall hernia repair ..., Bangor, Maine. Best answers. 0. Apr 23, 2010. #2. You can only charge for implantation of mesh for ventral and incisional hernias. You can not use it with code 49505, as it is an inguinal hernia and the mesh is included. If you go to your CPT book and read the paragraphs right before that code section, it clearly states this for you., LAPAROSCOPIC INGUINAL HERNIA REPAIR. CPT® CODE: 49650‐ LAPAROSCOPIC SURGICAL REPAIR INITIAL INGUINAL HERNIA. MODIFIER: 50‐ BILATERAL PROCEDURE. DIAGNOSIS CODES: 550.90‐ INGUINAL HERNIA, UNILATERAL OR UNSPECIFIED WITHOUT MENTION OF OBSTRUCTION OR GANGRENE. 550.92‐ …, Table 1: Summary of Anesthesia for Hernia Repair CPT Codes. CPT Code: Descriptor: Base: 00750: Anesthesia for hernia repairs in upper abdomen; NOS: 4: ... 40 wk gestational 35wk Premie incarcerated inguinal hernia 00836 : 6 : Lower abdominal, simple or complex Curated by: The ASA Committee on Economics. Date of last update: March …, Dec 9, 2022 · Key points include: The new codes identify anterior abdominal hernia repairs by initial vs. recurrent and incarcerated vs. reducible, and by size of defect. Procedures that are performed by open, laparoscopic, and robotic approach are all represented in the new codes. CPT code 49568 for reporting implantation of mesh has been deleted. , A prospective study was carried out among 31 adult patients with 34 inguinal hernia cases. They underwent the laparoscopic transabdominal preperitoneal technique with a Prolene mesh at the Hue Central Hospital from December 2018 through May 2019. Results. The mean age was 60.4 ± 11.8, and 96.8% of cases were male., Best answers. 3. Mar 18, 2024. #2. I don't see where there is a stoma to consider this a parastomal hernia repair. Provider is documenting reducible recurrent inguinal hernia, as open so 49520. I also don't see anything about mesh. Even if it were documented in the op note, my understanding is it is included in inguinal hernia repair, and no ..., The inguinal floor was extremely attenuated. I placed a piece. of mesh on the inguinal floor and anchored it circumferentially using 0. Ethibond and the hernia stapler inferior to the inguinal ligament, superior. to the internal oblique, wrapping the tails of the mesh around the cord. The mesh now was irrigated with antibiotic solution., I agree with Jodie. There is no code for laparoscopic repair of an INCARCERATED inguinal hernia, so you'd be looking at CPT 49650 or 49651. If the repair was difficult due to the hernia being incarcerated, perhaps modifier -22 could be added but documentation would be needed to support this modifier. Mary Kittredge, CPC, MA, A car radio is one of those devices that you just expect will work when you need it to. Silent road trips are generally not enjoyable. However, if you own an Audi and just replaced..., 85. Best answers. 0. Mar 8, 2012. #1. My surgeon has started with a laparoscopic inguinal hernia repair, then decided there was too much scar tissue, so the decision was made to discontinue the lap procedure and proceed with an open right inguinal hernia repair. Would I use the lap code, 49650 and the open procedure code, 49505 with modifier ..., CPT/HCPCS. Code. Prompt Pay. Price. (1). 49560. $4,000 ... Laparoscopy, surgical; repair initial inguinal hernia ... Implant mesh open hernia repair/debridement ..., The official description of CPT code 49505 is: “Repair initial inguinal hernia, age 5 years or older; reducible.”. 3. Procedure. The CPT 49505 procedure involves the following steps: The patient is prepped and anesthetized. An incision is made in the groin at the site of the hernia. The inguinal canal is exposed to identify the hernia sac., Background. We propose a new open mesh hernia repair procedure for the treatment of inguinal hernias in adults aiming to improve patients' comfort ..., Repair recurrent incisional or ventral hernia; reducible 090 12.37 22.20 +49568 Implantation of mesh or other prosthesis for open incisional or ventral hernia repair or mesh for closure of debridement for necrotizing soft tissue infection (List separately in addition to code for the incisional or ventral hernia repair) ZZZ 4.88 7.76 + = add-on code, The introduction of 49652 to 49657 has resulted in the deletion of temporary national (non-Medicare) codes S2075, S2076 and S2077 for laparoscopic hernia repairs and laparoscopic mesh placement. As of Jan. 1, 2009, these codes are no longer valid. Codes 49652 to 49657 join established codes 49650 (Laparoscopy, surgical; repair initial inguinal ...