PubMed · 4550465
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G E Moloney. 1972. Darning inguinal hernias.. https://doi.org/10.1001/archsurg.1972.04180020009001
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The main factor in the repair of groin hernias is the reinforcement of posterior wall defects of the inguinal canal, including the femoral ring, because the normal insertion of the transversalis fascia and transversus abdominis muscle is on Cooper's ligament and not Poupart's ligament. In approximately one-half of primary femoral hernia repairs in men, a coincidental ipsilateral inguinal hernia existed. Recurrence after inguinal herniorrhaphy is usually femoral. Forty-three patients with direct, large indirect or femoral hernias (primary or recurrent) had a Marlex mesh hernioplasty to treat the inguinal and femoral region simultaneously.
Prosthetic mesh in the form of a plug has been used extensively in the United States for hernia repair. It has been popular for all types of femoral hernias and for the majority of recurrent inguinal hernias. It follows the basic principle of 'tension-free' repair and permits unrestricted postoperative physical activity. The method has resulted in a long-term success rate better than the many modifications of the Bassini repair.
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