As open preperitoneal techniques had their revival during the recent decade, femoral hernias can quite easily be managed by an open posterior approach as well. Historically, many of the nowadays more popular open posterior techniques have been described in detail by predecessors as McEvedy, Lloyd Nyhus, George Wantz, and René Stoppa. Most of them were meant for treatment of inguinal hernias, but over time the open preperitoneal techniques were used for femoral hernia repair as well.
Currently, several posterior techniques are being used worldwide with all their specifics and different types of meshes. These techniques are all quite similar from an anatomical point of view, all aiming for a solid reinforcement of the posterior wall of the inguinal canal and the transversalis fascia and covering all orifices of Fruchaud’s myopectineum, including the femoral canal.
In this chapter different open preperitoneal mesh repairs will be described and discussed. The current literature will be reviewed shortly.
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