Modified darn repair
The modified darn repair procedure began with a suture on the pubic tubercle using nylon O. The suture went through the conjoint tendon from medial to lateral, creating a double loop in a manner that is free of tension. The suture was then passed through the inguinal ligament from its medial side, creating another double loop in a manner that is free of tension. This process continued in a medial to lateral direction, forming a grid-like pattern with two centimeters of space between each stitch (Modified darn procedure.Combined darn and mesh repair.