Surgeons have not yet satisfactorily solved the problem of inguinal hernia, as is demonstrated by the high percentage of recurrence in subjects operated outside specialist units. An original method is proposed here. It does not require prostheses, conserves the cremaster muscle and modifies the anatomy of the inguinal region in a way that reconstitutes the defence mechanisms (sphincter and shutter) which are frequently incompetent in hernia patients. From December 1988 to December 1996 the operation has been performed on 1487 primary hernias. 1024 were systematically followed up: there were 6 recurrences (0.5%). The method is innovative in that it is the only one that simultaneously takes into account the principles of statics, biology and physiology. In spite of its apparent complexity, each stage is very clear. This makes the technique suitable for less expert surgeons.
Key wordsHernia Inguinal Herniorraphy Groin
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