[A new material and a simplified technic for treatment of recurrent or nonrecurrent bilateral hernias by the preperitoneal or subperitoneal approach]

Difficulties arise during surgical treatment of recurrent or non-recurrent bilateral hernia, the use of a median approach alone requiring the insertion of prosthetic material. Recurrence can be avoided if the material is reliable, and there is no risk of its migration or displacement. This applies to crinoplates, which allow the positioning of a relatively rigid but supple material of a size adapted to the pathological inguinal orifices, ensuring perfect reliability of this finally fairly simple operation. The use of two separate plates allows rapid surgery and a short incision, avoiding suprapubic eventration. The fact that the cord pierces the previously drilled plate prevents fixation and any risk of displacement, principal cause of recurrences. Excellent results without recurrence, and total lack of septic complications, were obtained in 200 cases operated upon by this method.