Background: Recent efforts at development of an ideal method for herniorrhaphy have
resulted in a number of tremendous advances. The keen interest in hernia surgery and
newer methods of repair, however, suggests that most surgeons are not fully satisfied with
the methods currently available. Methods: This repair involves a preperitoneal approach
accomplished under regional or local anesthesia, with limited instrumentation and expense.
It is performed in both a tension-free and sutureless fashion through a very small incision. It …