Anatomical wall reinforcement for the treatment of an inguinal hernia

An anatomical wall reinforcement for the treatment of an inguinal hernia, comprising a first piece and a second piece which are assembled with one another, said first piece having a main part resting against the muscle wall, and a secondary part, which is smaller in area, substantially covering an upper end of a pubic bone and the Cooper's ligament, a longitudinal edge of said main part, from which said secondary part projects, having a relatively corrugated shape suited to that of lower inguinal structures, said second piece being assembled with said first piece along a part or all of said longitudinal edge and the side edge of said secondary part consecutive to this longitudinal edge, and substantially matching the overall shape of said lower inguinal structures,

• wherein said first piece comprises a cutout forming a passage zone, located at a distance from said longitudinal edge, for a spermatic cord to pass therethrough, and a flap which is joined thereto and is dimensioned so as to extend close to said longitudinal edge and to broadly cover the passage zone of said first piece extending between said longitudinal edge and said passage zone, the flap being raisable in relation to said first piece to engage the spermatic cord between said first piece and the flap and being foldable against said first piece to hold the spermatic cord between said first piece and the flap, and
• wherein the width of said passage zone of the first piece extending between said longitudinal edge and said passage zone ranges from 0.3 to 1 inch (0.75 to 2.5 cm), depending on the size of the reinforcement.