Bilateral Inguinal Hernioplasty Using the Hernia Sac for Posterior Wall Reinforcement

Inguinal hernioplasty is among the most frequently performed surgical procedures. The recurrence and complication rates have prompted continuous investigation into alternative techniques and materials. We aimed to report the case of a 67-year-old male patient who underwent bilateral inguinal hernioplasty utilizing a flap from the hernia sac for posterior wall reinforcement. The use of synthetic meshes, particularly polypropylene mesh introduced in the 1950s, has become widespread, especially in laparoscopic and complex hernia repairs. Despite advances, complications related to mesh use persist. An alternative for repairing indirect inguinal hernias is to use the peritoneal tissue from the hernia sac. Being autologous, it minimizes the risks of rejection or other adverse reactions. Peritoneal tissue can be effectively used to reinforce the posterior wall in inguinal hernia repairs, including cases involving large hernias.