The Rutkow principle of inguinal hernia repair involves the insertion of an umbrella-like mesh plug into the local defect beneath the transversalis fascia. A second flat mesh, the onlay patch (similar to the Lichtenstein principle), is placed over the plug.
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Principle
![Principle]()
Inguinal skin incision
A skin incision approximately 4 cm long is made obliquely 2 fingerbreadths above the inguinal ligam
A skin incision approximately 4 cm long is made obliquely 2 fingerbreadths above the inguinal ligam
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