This prospective study reports 80 repairs of inguinal indirect hernias of groin. All patients were men, 18-65 years old, with internal inguinal ring ranging from 1cm to 3.5cm in diameter, corresponding to type 2 in Nyhus'classification of inguinal- femoral hernias. The objective was to investigate the probable advantages of using the hernial sac as an additional reinforcement, together with the usual, of posterior wall of the inguinal canal. The internal ring was encircled by a sling from the hernial sac graft. The patients were divided into two groups. In both groups, the statistical texts showed no siginificant diferences between averages of age, weight and height of the patients and between diameter of infernal ring. In the group A, the reinforcement was made by means of the iliopubic tract repair. In the group B, the hernial sac was applied as a reinforcing patch. the graft would then fit snugly against the cord to form a new internal ring. This technique is easy and spends, in average, nine minutes. Hernial sac is a tissue constituted predominantly of conjunctive fibers, fatty cels, blood vessels and straight muscular fibers until 25% of the cases. In the only patient who underwent reoperation, the graft was found to be transformed into a thick fibrous tissue barrier at the floor of the inguinal canal. After a 24-month follow-up, the author concluded that hernioplasty using the hernial sac in repair of inguinal indirect hernia offers a simplified, rapid and inexpensive solution. In addition, the operative means do not cause increase of post-operative complications.
Inguinal hernia; Hernial sac; Prothesis; Herniorrhaphy