Inguinal hernia repair has evolved from tissue-based reconstruction toward parietal reinforcement with prosthetic materials. Although mesh-based techniques have reduced recurrence rates, they have at times shifted attention away from functional anatomy toward standardized defect-oriented repairs.
The Parietal Inguinal Box Repair (PIBR) is presented as a full-length technical–conceptual evolution of anterior open hernia repair. The technique is based on a parietal, wall-centered interpretation of the inguinal region and focuses on reconstruction of the inguinal box as a functional three-dimensional compartment rather than on treatment of the peritoneal sac.
PIBR is performed through an open anterior approach according to tension-free principles. The hernia sac is reduced without dissection or resection. A tailored flat mesh is positioned anteriorly and stabilized through selective three-point fixation to the pubic tubercle, the pubic ramus (pectineal ligament), and the inguinal ligament.
By integrating classical anatomical principles with contemporary mesh-based surgery, PIBR represents an anatomy-driven refinement of anterior hernioplasty.
Citation: Bencini, C. (2026). Parietal Inguinal Box Repair (PIBR) : An Anatomy-Driven Refinement of Anterior Mesh Hernioplasty. J Sur & Surgic Proce.,4(1):1-4. DOI : https://doi.org/10.47485/3069-8154.1026