Experience with the intra-abdominal approach for complicated hernias of the inguinal region.

In this report we describe our experience using the transabdominal approach for the reduction and repair of incarcerated or strangulated hernias of the inguinal or femoral region. This technique allows for the division of the constricting ring under direct vision as atraumatically as possible and permits a simplified Cooper's ligament type of repair with great accuracy, safety and ease. Thus, all risks associated with the conventional techniques are minimized and the chances for success of reconstruction are markedly enhanced. Short and long term results have been excellent in 22 patients with complicated inguinal or femoral hernias, five of them recurrent and five with strangulated bowel, with a mean follow up of 80 months.