use of preperitoneal approach and of fascia transversalis for the repair of recurrent inguinal hernias

ABSTRACT

This study included 30 patients suffered from recurrent inguinal hernias. The majority of the recurrences occurred within the first year after the original operation. Recurrent hernias were indirect in 26 cases and direct in 4 cases. The preperitoneal posterior approach was applied for all cases. 8 cases showed sound posterior walls of the inguinal canals and repaired by normalisation of internal inguinal ring only. Plication of the fascia transversalis was done in 12 cases in which mild redundancy of the posterior wall was noticed, and pectineal ligament repair was done in 10 cases in which marked redundancy and thinning out of the fascia transversalis was present