[Observations on surgical technic in inguinal femoral hernia according to McVay]

The technique of the operation first published by MCVAY in 1949 for the treatment of the inguinal and fermoral hernia is briefly described and its advantages, compared with the method of BASSINI, are discussed. The essential factor consists in the use of the fascia transversa abdominis which is sewn on to the ligament of Cooper instead of attaching the musculus obliquus externus to the ligamentum inguinale. The operation demands an accurate knowledge of all the anatomical structures concerned and a strict observance of the technique described.