Technique for repairing inguinal hernias with Marlex mesh

A technique using Marlex mesh for the repair of inguinal hernias is described. In this procedure the transversalis fascia is incised and a 1 inch strip of Marlex mesh is sutured as a cuff over the free edge of the conjoined tendon. The mesh-reinforced conjoined tendon is then sutured to Poupart's ligament. Continuous sutures of polypropylene monofilament are used both to affix the mesh cuff to the conjoined tendon and to suture the reinforced conjoined tendon to Poupart's ligament. Use of the mesh cuff results in a significant mechanical advantage and an exceptionally strong repair. This technique has been used in 72 patients since January 1979, with good results.