RT Book, Section A1 Ellison, E. Christopher A1 Zollinger, Robert M. SR Print(0) ID 1127274155 T1 REPAIR OF DIRECT INGUINAL HERNIA (MCVAY) T2 Zollinger's Atlas of Surgical Operations, 10e YR 2016 FD 2016 PB McGraw-Hill Education PP New York, NY SN 978-0-07-179755-9 LK accesssurgery.mhmedical.com/content.aspx?aid=1127274155 RD 2024/03/28 AB A McVay primary tissue repair is infrequently performed as an initial herniorrhaphy, as it is associated with a high rate of recurrence. However in patients where mesh from a previous operation must be removed (e.g., chronic infection), some form of primary tissue repair is needed. The McVay procedure may be useful in these cases, especially when the femoral space must also be obliterated.