[94 inguinal hernias treated by interposition of a prosthesis using medial and preperitoneal approach]

Having chosen the utilization of a Teflon prosthesis, interposed in preperitoneal position by medial incision, in a series of 58 patients presenting 94 hernias, the authors wish to express a preference to this method for reoccurring and bilateral hernias. They underline the simplicity of the technique, its reduced morbidity, and they focus on the infrequency of reoccurrence in 47 patients reseen 6 months to 4 1/2 years in follow up. The authors have not observed a difference in the local results, recent and long term, after intervention using this technique under general or local-regional anesthesia. But they do appreciate however, a low percentage of general complications encountered in the group operated without general anesthesia, which thus permits an enlarged spectrum of indications for patients at risk. Previous operations by low midline incisions (prostatectomy, etc...) do not constitute a contra-indication.