New technical approach to the treatment of large, gigantic, oblique inguinal hernias

The authors suggest a method of hernioplasty for treatment of large and gigantic oblique inguinal hernias. The method envisages plasty of front wall of inguinal canal with lateral "excess" flap of abdominal external oblique muscle aponeurosis. According to the offered method the edges of the excess flap are sewn on to iliopubic cord, which first strengthens inguinal ligament before sewing to it of the edge of medial flap and then, after its redoubling, the flap is fastened to the surface of aponeurosis by means of interrupted suture. During 12 year period 80 patients suffering from large and gigantic inguinal hernias were operated with the suggested method. In the post-operation period 8 (10,0%) complications occurred, one (1,2%) of them with lethal outcome. 30 patients were examined in the remote period. None of them had recurrence of the disease.