[One-stage elimination of bilateral inguinal and femoral hernias]

The method of preperitoneal hernioplasty for simultaneous elimination of inguinal and femoral hernias was developed, which consists in that semi-oval cross-section of the skin is performed 3-4 cm above inguinal ligament. The approach through the aponeurosis of superficial oblique (abdominal) muscle is made above the inguinal channel, the muscles are retracted by blunt manner, and through the incision in transversal fascia they penetrate into preperitoneal space. When doing plastics the posterior wall of inguinal channel is strengthened. The tendon of internal oblique and transversal muscles are sutured together as well as lateral margin of the vagina of rectal muscle with pectineal ligament. Transverse fascia is sutured as duplication by the second row of nodular and the interior orifice of inguinal channel is reconstructed.