[Interposition of dacron meshes through a Pfannenstiel approach for bilateral hernia (author's transl)]

The use of a dacron mesh interposed between the deficient abdominal wall and the peritoneum has proved to be a reliable means of preventing a recurrence. For inserting the material in bilateral hernias, until 1979, the authors used a median supra-pubic incision, in more than 150 patients. Since then they turned to the Pfannenstiel approach in 68 patients. This fashion has the following advantages: -- a better exposition -- a need for less prosthetic material -- no risk of hernia on the incision -- a better post-operative comfort for the patient.