On functional plasty in herniotomies

Abstract

With direct inguinal hernias and recurrent hernias, the author proposes to replace the abdominal wall defect in the following way: a quadrangular aponeurosis flap is cut on the leg upward medial to the external inguinal ring and then, after removing the sac, the formed aponeurosis flap is sutured with its extended outer edge to the umbilical ligament, and closes the defect in the aponeurosis.

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