[Surgical management of inguinal hernia. A reliable hernioplasty technic with long-term results]

The technique described and used by the authors for the past 30 years has the advantage of a low recurrence rate, as proven by the follow-up of most patients. The fascia transversalis is repaired in a way similar to Marcy's technique but in addition the hernial sac is ligated and attached at a high level and parts of the internal and external oblique muscles are folded behind the spermatic cord. This reinforcement of the musculo-tendineous layers makes prosthetic surgery unnecessary in the vast majority of cases.