Hernioplasty: a new approach against the recurrence.

In the repair of inguinal hernia, the primary objective is to stop the recurrence of hernia, but it seems this expectation has not been met even with the Lichtenstein mesh repair. Therefore, a totally recurrence-free result cannot be reached until a rational technique is developed. In the new approach, the repair of the inguinal hernia was carried out routinely by a combination of a tension-free mesh implantation along with the on-lay nylon darn. The outcome of this new approach in 125 consecutive patients was found to be very satisfactory, with no evidence of recurrent inguinal hernia apart from a superficial wound infection developed in one patient and both wound infection and wound haematoma in another patient. A recurrence-free inguinal hernia is not a myth in this combined approach, which provides a complementary benefit to each other and a total satisfaction to the patient. It is also cost-effective in the long run.