The shouldice technique was itself an evolution of prior techniques. His method improved surgical results and reduced recovery time quickly.
The first efficient inguinal hernia repair was described by edoardo bassini in the 1880s.
Shouldice method of inguinal hernia repair. Our recurrence rate for primary inguinal hernias of around 1 is more than comparable to the best results of any mesh surgeon in the world yet we do so with a. Inguinal hernia shouldice repair recurrence. The bassini repair named after dr.
The shouldice hospital has specialized in the care of abdominal wall hernias for more than 60 years. Shouldice developed his repair during world war ii to help men who were unable to enlist in the military because of their hernias. The shouldice technique is a four layer inguinal hernia repair performed with the patient under local anesthesia.
Edoardo bassini who developed it in the 1880s was the first efficient repair for inguinal hernia. The shouldice technique is a well established operation for both primary and recurrent inguinal hernias. A teaching film by sue and peter jones specialist hernia surgeons in maidstone kent uk.
Modified shouldice repair uk sue and peter jones the shouldice repair of inguinal hernia. Other open non mesh techniques. The transversalis fascia is incised from the internal ring laterally to the pubic.
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. No mesh technique has surpassed the results achieved by the experienced surgeons of shouldice hospital when natural tissue repairs are used to repair the hernia defect. Currently 7 500 patients are treated every year.