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Inguinal herniorrhaphy is one of the most common operations in general surgery wards worldwide. Tension free techniques with mesh implantation (among Lichtenstein most common) reduced recurrence rate to less than 1 %. Chronic pain comprising up to 40% of operated patients still remains a clinical problem. Laparoscopic (endoscopic) techniques avoid extensive preparation in the groin, what is more hernia mesh is placed in avascular space of Borgios which contribute to reduction in chronic pain level. Apart from mentioned advantages laparoscopy (endoscopy) have drawbacks as well, among which high cost and long learning curve has to be taken into account. Currently many authors are keen on preperitoneal non laparoscopic minimal incision hernioplasty which result in few recently published operation techniques. In the article we present new hernioplasty methods and discuss them. [ABSTRACT FROM AUTHOR]

: BackgroundThe efficacy of preperitoneal herniorrhaphy is controversial in the surgical literature. The development of totally extraperitoneal video-assisted hernioplasty has stimulated further interest in long-term results of open techniques. Some of the main advantages of the two most extended preperitoneal open approaches (Stoppa and Nyhus operations) are combined in the author’s technique described here.: MethodsBetween March 1995 and June 1998, 180 consecutive patients with a total of 202 inguinocrural hernias were treated by an open sutureless preperitoneal repair, using a lateral approach, with placement of a 12 × 10 cm polypropylene mesh.: ResultsMean operating time was 48 minutes. Overall morbidity rate was 7%. Mean hospital length of stay was 2.16 days. After an average follow up of 3.5 years, the overall recurrence rate was 0.57%.: ConclusionsM-shaped preperitoneal hernioplasty is a single, safe, and easy repair for inguinocrural hernias, regardless of the type of hernia or the concomitant clinicopathological features of the patient. [Copyright &y& Elsevier]