[The treatment of inguinal hernias by the tension-free mesh-plug alloplastic technic]

The treatment of inguinal hernia using conventional procedures is related with a relative high rate of recurrency, discomfort and postoperative complications. This is the reason, why, in the last 6 months we began to perform the tension-free mesh-plug technique, starting from the American authors idea of preserving the sphincters-like action of the internal ring and the "sling" & "shutter" mechanism of the inguinal canal. Also, the dissection being minimal, it importantly reduced the possibility of postoperative complications (hematoma, seroma, ischemic orchitis). According to the hernia type, after the high dissection & ligation of the sac, on or more plugs are placed into the internal ring or/and the defect of the inguinal floor, reinforcing it with a second piece of flat mesh, from the pubic tubercle and beyond the internal ring. Though one experience is still small and of recent date, the results are encouraging: we didn't have postoperative complications and the patients discomfort was minimal.