 The patch was then sutured medially to the pubic tubercle, inferiorly to Cooper's ligament and inguinal ligaments, and superiorly to conjoined tendon using 2-0 Prolene. 
The patch was then sutured medially to the pubic tubercle , inferiorly to Cooper 's ligament and inguinal ligaments , and superiorly to conjoined tendon using 2 - 0 Prolene .