Principles of Surgical Treatment of Inguinal Hernia The main stages of Herniotomy : There is a great amount of operations on
inguinal hernia, but all of them differ from each other only by the end stage. The stages are: The first stage : approach to the inguinal canal. The second stage: isolation of hernial sac out of surrounding tissues and its excision. The third stage : closure of the inguinal opening up to the normal sizes on its dilatation or destruction. The fourth stage: inguinal canal plastic repair One of the major causes of recurrence of inguinal hernia is the standard appli-cation one of the techniques of operation without the account of topographical specificity of the inguinal canal, the type of hernia, age of the patient, size of the hernial ring, state of tissues. Such practice is vicious. On the data of native surgeons, standard surgical treatment of inguinal hernias results in recurrences in 6,9-28,5 % of cases. At the same time, in clinics specially engaged in this problem, percent of relapses is reduced to a minimum, averaging from 0 till 3.