The recurrence, present in around 10% of hernia surgeries, encourages the research of new techniques and materials that can be utilized selleckbio in the hernia correction (2�C4). After many experiences from ancient times, the hernia surgery begins in Italy with Bassini (1844�C1924) with the reinforcement of the posterior plan of the inguinal canal. Bassini was followed by many surgeons with changes and adaptations of his technique, always aiming at reducing the recurrence (1,2,5). The mesh prosthesis use, from Shouldice (1890�C1965) with steel, silver and actually with polypropylene shows good results, although there is a big incidence of rejection and infection, aside from the price of prosthesis never always accessible to the patient (2�C6).

Halsted (1852�C1922) said: ��If we can be able to find a material with the same characteristics of a fascia or tendon we would arrive at the radical hernia cure�� (1,2). From 1971 with Alcino L��zaro, the hernia sac has been studied in regards of its constitution and his utilization for reinforcement of abdominal wall defect with very good result. The hernia sac is removed from the patient, doesn��t show rejection, inflammation and it��s a tissue of great resistance on account of smooth muscular fibers and collagen (1,2,7). The aim of this study is show the use of the hernia sac in the correction of the inguinal hernia. Patients and methods This study was authorized by the ��Conselho de ��tica e Pesquisa em Seres Humanos�� of the ��Universidade Federal de Juiz de Fora �C UFJF �C MG��. The data had been collected from March 2003 to December 2006 in the ��Hospital Municipal Dr.

Mozar Geraldo Teixeira�� of Juiz de Fora with 200 patients who had undergone inguinal hernia surgery. Of these patients, 147 (73,5%) were male and 53 (26,5%) female. The age varied from 13 to 89 years (average: 41,85; DPad: 16,8). The patients were chosen randomly and the factors of inclusion in this technique were the thickness and size of the hernia sac. Among the patients, 133 (66,5%) showed right inguinal hernia, 53 (23,5%) left inguinal hernia and 14 (7%) bilateral inguinal hernia. The transverse incision was used following the force line of the skin �C called the Felizet incision �C with exposition of the spermatic cord after incision of the External Oblique Muscle (EOM) aponeurosis. After the identification of the hernia sac (Fig.

1), a string Cilengitide in its basis was made with absorbable thread (cromade Cat-Gut 2-0) and then resected. Hernia sac was put in physiological solution. The reinforcement of the inguinal wall is done with the approximation of the conjoint tendon to the inguinal ligament with Prolene 0 continuous suture. The hernia sac is cut and adapted on the previous suture. It is fixed with separated stitches of Nylon 3-0 and left loose serous with surface standing above.