All groin hernia types (inguinal and femoral) are repaired using the
same principles. In the past, sutured tissue repairs approximating them
to close the defect were popular, but now, it is more of historical
interest, this technique is being widely abandoned in the
present, because of the high recurrence rates and intense
The best option out there is the “tension-free” repair (open or
laparoscopic), using prosthetic material (a mesh) to widely
overlap all of the potential sites of herniation, without trying to
close the defect with the weakened patient’s own tissues, thus, leading
to less recurrence and much less pain; adding
this concept to the laparoscopic
approach, has made the groin hernia repair to evolve
enormously in the last 15 years.
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