Shouldice Inguinal Hernia Repair

The repair is based on the bassini repair with some modification.

Shouldice inguinal hernia repair. It was a solid no mesh hernia repair at a time before polypropylene mesh was routinely used. Although there are inherent risks in any surgery there are no similar or comparable risks in natural tissue hernia repair versus mesh. Will i miss this nerve answered by dr. The shouldice technique is a four layer inguinal hernia repair performed with the patient under local anesthesia.

The bassini repair named after dr. If they do it could have an area of numbness which is of no signif. The bassini repair became the gold standard inguinal hernia surgery for decades to come. Inguinal hernia shouldice repair recurrence.

Shouldice a brilliant surgeon who revolutionized inguinal hernia repair by developing a dependable no mesh technique back in 1945. Going to shouldice hospital for inguinal hernia repair. Shouldice developed his repair during world war ii to help men who were unable to enlist in the military because of their hernias. The transversalis fascia is incised from the internal ring laterally to the pubic.

Shouldice the best no mesh hernia repair for inguinal hernia. The shouldice technique is a well established operation for both primary and recurrent inguinal hernias. Although it is fair to conclude that mesh has reduced overall recurrence rates the same result could have been achieved or bettered by continuing to use known and proven natural. Currently 7 500 patients are treated every year.

Other open non mesh techniques. In the bassini technique the conjoint tendon formed by the distal ends of the transversus abdominis and internal oblique muscles is approximated to the inguinal ligament and closed. There is a specialty clinic in toronto canada called shouldice hospital it was named after e e. The shouldice hospital has specialized in the care of abdominal wall hernias for more than 60 years.

I have read they remove genitofemoral nerve in shouldice technique. Clinical evidence gathered over 70 years of follow up with our patients clearly demonstrates that the hernia repairs performed at shouldice hospital are exceptionally safe secure and reliable. The first efficient inguinal hernia repair was described by edoardo bassini in the 1880s. Edoardo bassini who developed it in the 1880s was the first efficient repair for inguinal hernia.