[Treatment experience with the author's method for inguinal hernias difficult to eliminate]

Area of Science:

• Surgical techniques
• Hernia repair
• Anatomy of the inguinal canal

Context:

• Evaluating different methods for inguinal canal plasty in 202 patients.
• Assessing tissue strength, load-bearing capacity, and efficacy for direct, oblique, and recurrent inguinal hernias.

Purpose:

• To compare the efficacy of various inguinal canal plasty techniques.
• To introduce and evaluate a novel method for strengthening the posterior inguinal canal wall and deep ring.

Summary:

• The author's method utilizes the external oblique aponeurosis's tenia for strengthening the posterior inguinal canal wall and deep ring.
• This technique allows for firm tissue suturing with reduced load on the tissues.
• The study included direct hernias, oblique hernias with straightened canals, and recurrent inguinal hernias.

Impact:

• The author's method demonstrated strong tissue suturing with minimal load.
• Achieved good remote results in 90% of the studied cases.
• Offers a potentially improved surgical option for inguinal hernia repair.