[Treatment of recurrent and prevascularized femoral hernias by reinforcement of the visceral sac using a giant prosthesis].

Giant prosthetic reinforcement of the visceral sac (GPRVS) is the descriptive name of a preperitoneal groin hernioplasty with a large piece of Mersilene. The repair focuses on retaining the peritoneum rather than repairing the parietal defect and is efficient, anatomic, sutureless, and tension-free. Herein, is a discussion of its use to manage recurrent and perivascular femoral hernias and a description of a new technique of unilateral GPRVS done through an infrainguinal approach. The data presented reveal no recurrences in 69 problem femoral hernias of which 13 were primary, 50 recurrent and 6 perivascular.