[Multilayer deep hernioplasty by E. Shouldice method in inguinal hernias]

The article gives a detailed description of steps of performing multilayer deep hernioplasty after E. Shouldice. In order to substantiate the possibilities to perform the procedure the structure of the transverse fascia in the ilioinguinal area was investigated in 20 corpses without hernias as compared with those having hernias. The data obtained give qualitative characteristics of the content of the collagen and elastic fibers of the transverse fascia. Their amount was proved to be 1.5-2 times less as compared with normal. Under analysis were results of surgical treatment of 786 patients with inguinal hernias. Long-term results of the surgical treatment were studied in 281 patients operated by the method of the multilayer deep hernioplasty after E. Shouldice. The method of surgical treatment of inguinal hernias was proved to be pathogenetic and highly reliable.