A teaching film by sue and peter jones specialist hernia surgeons in maidstone kent uk. The transversalis fascia is incised from the internal ring laterally to the pubic.
Shouldice Inguinal Hernia Repair Picture Medtube Net
Modified shouldice repair uk sue and peter jones the shouldice repair of inguinal hernia.
Shouldice technique inguinal hernia repair. Other open non mesh techniques. The first efficient inguinal hernia repair was described by edoardo bassini in the 1880s. 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.
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. The shouldice technique is a four layer inguinal hernia repair performed with the patient under local anesthesia. A recurrence rate around 1 has been demonstrated by our group and many others over the years 2 5 the principle of the technique is based on more than the technical aspect alone and includes the preoperative preparation anesthesia.
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. 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.
The shouldice technique is a well established operation for both primary and recurrent inguinal hernias. The shouldice technique was itself an evolution of prior techniques.
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