[Pros and cons of some conventional groin hernioplasties used for repair of combined hernias]

Abstract

Using their experience the authors analyze the surgical methods of repair of groin hernias of McVay, Kukudjanov and Shouldice as a method of choice for combined groin hernias. Using their own anatomical researches, the authors prove that it is possible to explore and using Cooper's ligament extrafascially. The combination of duplication of the transversal fascia (as in Shouldice repair) and moderate change of the medial insertion point of the internal oblique abdominal muscle and the transversal abdominal muscle and suturing the Cooper ligament (as in Kukudjanov repair method), but extrafascially, a new repair method evolve, which strengthens the three weak points in the area. This method would meet to the highest extend the requirements for a correct anatomo-physiological strength of the groin area.