Patient: description of the condition (onset time, main symptoms, hospital visited, etc.): recently due to strain so the onset of the family genetic small intestine xenon gas, diagnosed as oblique xenon with the hand can be rubbed back the mass to reduce pain I do not know whether conventional surgery is good or minimally invasive, the elderly 67 years old, male, the local hospital has different sayings, some say there are patches, some say no patches, I do not know which patch is used for surgery, whether there should be I don’t know what kind of surgery the patch is for and whether there should be a patch? Zhu Yilin, Department of Hernia and Abdominal Wall Surgery, Chaoyang Hospital, Beijing, China: Hello, patch treatment is preferred, and the application of local anesthesia for open patch repair is ideal.