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The preperitoneal approach in open inguinal hernia repair surgery is widely applied in China. There are many anterior pathways to access the preperitoneal space such as laparoscopic techniques and neck-shoulder technique in open surgery. However, the integrity of groin area, including transversalis fascia, inner orifice, etc., seems not to be protected well particularly in open ways. How to gain an easy access to place mesh and reduce potential damage to normal tissue, will reduce discomfort risks after surgery such as bulging, chronic pain, etc., which however is given far little attention. In addition, it actually produces potential of intestinal injury when facing complex situations such as visceral adhesion or sliding hernia [1]. Now it is time to stress upon these loopholes and provide novel ways to resolve them. Therefore we would like to introduce hernia-roof technique to avoid these risks while the resistant degree of groin area strengthened.

Improved Anterior Approach Offers Easy Access to Preperitoneal Space during Open Surgery of Groin Hernia Repair