Advertisement

The Shouldice Repair

  • Paolo Bocchi
Chapter

Abstract

The Shouldice repair does not call for the use of prosthetic material, and it remains today the gold standard of pure tissue repair for inguinal hernias. This technique applies to both indirect and direct inguinal hernias.

The reconstruction of the posterior inguinal wall is done with four continuous lines using two nonabsorbable sutures. Stainless steel wire sutures are still used (gauge 20–22), but many surgeons use polypropylene sutures equally. This reconstruction makes the posterior wall extremely resistant.

A step-by-step description of the Shouldice repair according to the extant literature, personal experience and actual attendance at the Shouldice Hospital in Toronto is herein provided.

References

  1. 1.
    Shouldice EE. The treatment of hernia. Ont Med Rev. 1945;12:43–69.Google Scholar
  2. 2.
    Bocchi P. L’operation de Shouldice: peut-on avoir dans un service de chirurgie générale les mêmes résultats que dans un service super—spécialisé? Journal de Chirurgie (Paris). 1993;130(6–7):275–7.Google Scholar
  3. 3.
    Bocchi P. The Shouldice operation: can be done by the average surgeon in an average surgical service? An analysis of the recurrence. Probl Gen Surg. 1995;12(1):101–4.Google Scholar
  4. 4.
    Bassini E. Sulla cura radicale dell’ernia inguinale. Archivi Società Italiana di Chirurgia. 1887;4:380.Google Scholar
  5. 5.
    Wantz GE. Atlas of hernia surgery. New York: Raven Press; 1991.Google Scholar
  6. 6.
    Bendavid R. L’operation de Shouldice. Encyclopedie Medico-Chirurgicales, Paris, Techniques Chirurgicales. Appareil Digestif. 1986;40112:5.Google Scholar
  7. 7.
    Rutkow IM. Epidemiologic, economic and sociologic aspects of hernia surgery in United States in the 1990’s. Surg Clin North Am. 1998;78(6):941–51.CrossRefPubMedGoogle Scholar
  8. 8.
    Weber A, et al. Epidemology of hernias in the female in abdominal wall hernias. Berlin: Springer; 2001. p. 613–9.CrossRefGoogle Scholar
  9. 9.
    Bendavid R. Complications of groin hernia surgery. Surg Clin North Am. 1998;78(6):1089–103.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Val Parma HospitalLanghirano, ParmaItaly

Personalised recommendations