[Basic principles of conventional inguinal hernioplasty without prosthesis]

Probably in the near future the conventional hernioplasty without prosthesis will be applied, so it is important its basic principles to be well-known. According to literature data they are: the sac of the indirect hernias should be ligated high; the suture line must not be under tension; the repair of the defect in f. transversalis is mandatory; identical tissues of the same layer should be sutured together. Today the critical notes for any method are based on these principles. As far as the anatomical accuracy of the repair of f. transversalis is concerned, there still is discussion which should be the supporting structure of the hernioplasty--lig. inguinalae or lig. Cooperi.