HERNIAL REPAIR USING COOPER'S LIGAMENT

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Abstract
DURING the past seven years we have studied a method of herniorrhaphy which utilizes Cooper's ligament in situations in which one would customarily use Poupart's ligament. This method was first advocated by Lotheissen1 for use in femoral hernia and was extended to direct and some indirect hernias on the basis of the anatomic studies of McVay and Anson2 (1940). The conventional operations for the repair of hernia in the groin generally involve two principles: 1. Indirect inguinal, direct inguinal and femoral hernias are repaired by different methods. 2. When an inguinal approach is used, some structure is sutured to Poupart's ligament. The present method disregards both of these tenets and consists, in brief, of two essential features: 1. Those structures usually sutured to Poupart's ligament are fastened instead to Cooper's ligament (the ligamentum pubicum superius B N A). 2. Essentially the same technic can be used for all

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