There are 2 surgical approaches in hernia repair surgery: the open and the laparoscopic one. An approach is called open, when the surgeon makes a single incision near the location of the hernia, dissects the surrounding tissues and repairs the hernia under direct vision.
In general, we call the largest areas of land on earth the continents of the earth.
Earth's total surface area (ocean and land) is about equivalent to 30 Pluto surfaces. Earth's total dry land area is about 9 Pluto surfaces worth of land. In terms of Texas land areas, Pluto's surface area is about 24 Texases worth of land. So, given that we equate 7 billion people to fit inside of Texas, with a house and a yard for each family of four, that means we can say that 168 billion people could live in a land area the size of Pluto.