ANSON and McVey1 in 1938 made what is probably the most outstanding contribution in the past twenty-five years to our understanding of the anatomy of the inguinal region. A more anatomic inguinal herniorrhaphy was recommended by McVey in 1941.2 This repair utilized the ligamentum pubicum superius, or Cooper's ligament, instead of the inguinal ligament, which is justified by the fact that Cooper's ligament is the normal insertion of the musculus et aponeurosis transversus abdominis.
Exclusive of its anatomic character, the McVey herniorrhaphy has the advantage of being applicable to the repair of a direct or indirect inguinal hernia or a femoral hernia. It may be used also to close any hernia which is a combination of these two, the Hoguet maneuver being employed to convert two sacs into one. The disadvantages are generally those of difficult dissection and exposure, due to the depth of the wound, excessive tension
ORR TG. MODIFICATION OF COOPER'S LIGAMENT HERNIORRHAPHY USING HALSTED'S FASCIAL FLAP. Arch Surg. 1950;60(2):336-338. doi:10.1001/archsurg.1950.01250010354011