The McVay hernia repair is derived from the Bassini hernia repair. It is a transversalis fascia based repair that incorporates Coopers ligiment in the repair. This has the advantage over the Bassini repair of dealing with potential recurrences through the femoral canal.
We do not endorse a particular named repair technique. We believe that a hernia surgeon should be familiar with all of the named repairs as he would all of his many surgical tools. We prefer non-mesh hernia repairs for the sake of avoiding mesh related chronic pain.
"Milan—Chronic groin pain after hernia surgery is now considered the most important issue facing inguinal hernia surgeons and their patients. Yet, there is still much uncertainty surrounding what causes the pain and how to prevent it." - Victoria Stern, General Surgery News