The "Fletching": a new implant for the treatment of inguino-femoral hernias.

Inguino-femoral hernias present a special problem. Destruction of vital structures such as the inguinal ligament, the femoral sheath, the transversalis fascia and the conjoined tendon, is usually extensive. Repairs have often relied upon the use of sheets of prosthetic materials but never on a three dimensional implant. This article will examine such an implant, the "Fletching". The latter is a three leaved prosthesis with a common reinforced backing, the aim of which is to replace the inguinal ligament and associated structures necessary for the successful repair of the much feared inguino-femoral hernia. This prosthesis has been implanted in 24 patients with excellent results. Follow-up has now been longer than 2-1/2 years and careful steps are taken to continue this follow-up.