Prospective randomized study of internal oblique aponeurotic flap repair for tension-free reinforcement of the posterior inguinal wall: a new technique.

In recent years, Lichtenstein's tension-free hernioplasty has emerged as the gold standard for hernia surgery. However, it entails placement of a mesh and thus is costlier material-wise compared with herniorrhaphies. A new technique of internal oblique aponeurosis flap (IOAF) has been devised by the author that incorporates the advantages of Lichtenstein's technique (low recurrence, less pain) without its additional costs. A prospective study was carried out to compare the two techniques. The mean time for surgery was significantly less for the IOAF repair compared with the Lichtenstein's repair. Complications were fewer with the IOAF repair, especially local heaviness and induration. IOAF repair also had less material cost than Lichtenstein's repair. The technique of IOAF repair for inguinal hernia is fast, safe, and has less material cost compared with the Lichtenstein tension-free repair.