A median preperitoneal approach associated to a mesh prosthesis of Teflon has been used in our service since 1974. First used for the treatment of recidives, the technic has also been used for bilateral herniae. We have now operated 263 patients, representing 471 herniae over a 11 year period. In this study we analyse the results. In a series of 214 patients recidives were identified in 3.6% of patients despite the prosthesis. Some of these patients were reoperated. The authors found the probable cause of the recidives.

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