The posterior Properitoneal approach, as described by L. M. Nyhus, is a saf
e and sound procedure for the repair of adult groin hernias. This article r
eports a series of 143 hernioplasties in 119 consecutive patients. Ow overa
ll recurrence rate of 2.1% and 1.26 for the 126 mesh repairs, in a median f
ollow-up of 40 months, with zero mortality compare favorably with results r
eported in contemporary literature.