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.
land (countable and uncountable, plural lands) The part of Earth which is not covered by oceans or other bodies of water. Most insects live on land. Real estate or landed property; a partitioned and measurable area which is owned and on which buildings can be erected. There are 50 acres of land in this estate.