Griffith C A
Surg Clin North Am. 1984 Apr;64(2):215-27. doi: 10.1016/s0039-6109(16)43280-9.
Failure to close the internal ring in transversalis fascia is the primary cause of recurrent indirect inguinal hernia. Removal of the cremaster muscle provides optimal exposure for accurate identification and fascial closure of the ring.