The most commonly used methods of hernia repair are either Bassini rep
air or modifications of Bassini repair in fact each sutures, with diff
erent methods, the three anatomical coats (transversalis fascia, trans
versus abdominis and internal oblique muscles, external oblique muscle
aponeuroses). Here we propose a different operative technique that su
tures only two aponeurotic coats (transversalis fascia and over extern
al oblique muscle aponeuroses). The second sutured coat supports the p
osterior wall of the inguinal canal. Between 1984 and 1989 we operated
about 1100 patients with this method and the recurrence rate is in ac
cordance with the incidence of the other usual types of hernia repair.