Inguinal triangular effort with a fascia transversalis graft - technique

Background - The physician's greatest effort at the inguinal hernia surgery is to prevent its recurrence. Aim - To communicate the use of free flap of "fascia transversalis" added to a triangular inguinal reinforcement. Methods - It was proceeded a surgery on a patient who carried a direct inguinal hernia, whose "fascia transversalis" was wide, thick and strechful. It was extracted one central round part of the fascia which was replaced as one free graft after the classical reinforcement of the triangular "fascia transversalis" inguinal. Result - In followup of two years there is no recurrence. Conclusion - A free graft from "fascia transversalis" when abundant may be used in surgery of inguinal hernia.