[Bilateral inguinal hernia. Which treatment?].

The authors present a series of 70 bilateral inguinal hernias selected from a total of 641 inguinal hernias operated from May 1994 to November 1996 using alloplastic surgery. They discuss the most appropriate methods of access for treating this pathology in a single operation, and propose inguinal access as the most preferable method owing to its easy execution and apparently greater safety. Laparoscopic techniques should be reserved for special cases such as pluri-recidivating hernias.