Introduction

All groin hernia types (inguinal and femoral) are repaired using the same principles. In the past, sutured tissue repairs approximating them to close the defect were popular, but now, it is more of historical interest, this technique is being widely abandoned in the present, because of the high recurrence rates and intense postoperative pain.

The best option out there is the “tension-free” repair (open or laparoscopic), using prosthetic material (a mesh) to widely overlap all of the potential sites of herniation, without trying to close the defect with the weakened patient’s own tissues, thus, leading to less recurrence and much less pain; adding this concept to the laparoscopic approach, has made the groin hernia repair to evolve enormously in the last 15 years.

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