[Reconstruction of the wall in direct inguinal hernia: proposal of a technical variant]

The best method for inguinal hernia repair has not yet been established in the literature. Good results have been reported with Shouldice repair. This method includes both the posterior and the anterior layers of inguinal wall. The British method known as "nylon darn" has shown to be effective in preservation of deep groin anatomy. The author suggests the association of both methods to achieve the strength of the wall and the preservation of the groin anatomy.