Abstract

Inguinal hernioplasty represents one of the most frequently performed operation in surgery. In the article the author describes the technique of inguinal hernioplasty according to Lotheissen and McVay. He has an excellent experience when using this procedure. This communication tried to focus the attention of surgical community on this method.

Highlights

  • Back in 1804 Cooper suggested that transversal fascia discovered by him protects against hernias

  • Georg Lotheissen, an Austrian surgeon, was the first to use Cooper’s ligament for repair of inguinal hernia in 1898. He discovered an effective method of reconstructing posterior wall of inguinal canal which plays an important role in the origin and treatment of inguinal hernias

  • At the Department of Surgery of Faculty of Medicine and Teaching Hospital we are using the technique presented in cases of important defects of the posterior wall of inguinal canal, and in surgical management of recurrent hernias, including femoral hernias

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Summary

INGUINAL HERNIOPLASTY ACCORDING TO LOTHEISSEN AND McVAY

Back in 1804 Cooper suggested that transversal fascia discovered by him protects against hernias It was not until 1941 that McVay and coworkers proved on preparations that transversal fascia is not attached to inguinal, but to pectineal (Cooper’s) ligament (Fig. 1). Georg Lotheissen, an Austrian surgeon, was the first to use Cooper’s ligament for repair of inguinal hernia in 1898 He discovered an effective method of reconstructing posterior wall of inguinal canal which plays an important role in the origin and treatment of inguinal hernias. At the Department of Surgery of Faculty of Medicine and Teaching Hospital we are using the technique presented in cases of important defects of the posterior wall of inguinal canal, and in surgical management of recurrent hernias, including femoral hernias

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