[Technique of repair of acquired @entity169 by anterior reinforcement of the Fruchaud floor with XXXX mesh].

@entity1 @entity3087 @entity7502 @entity281 @entity158 @entity547 @entity169
The main cause of acquired @entity169 is weakness of @entity3087 , following metabolically-determined collagen disorders. A technique for the anterior reinforcement of this structure with @entity7502 mesh is described here. Following intermuscular decollement, the mesh is placed in direct contact with the surface formed by the transversalis fascia and the transversus abdominis muscle and stretched as extensively as possible. Because the posterior aspect of the inguinal canal is the true barrier to abdominal pressure, the author believe that its direct reinforcement, without interposition of the internal oblique muscle, constitutes the most correct anatomo-surgical approach to @entity547 repair. This is the case for both indirect hernias, in which the internal ring is reconstructed at a deeper level, and for direct hernias, in which the "tent effect" of the prosthesis is prevented. Ninety-two primary @entity169 (56 indirect, 29 direct and 7 direct and indirect) in 87 @entity1 were repaired with this technique. Seventy-nine @entity1 were followed up from 2 to 24 months. Early complications included: 7 ecchymosis, 3 seromas, 2 subcutaneous @entity281 , 3 testicular swellings. Incision and @entity158 for longer than 6 months occurred in 2 cases. No @entity281 or recurrences have been detected up to the present.
