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 SYMPOSIUM
Year : 2006  |  Volume : 2  |  Issue : 3  |  Page : 124-128

The Shouldice technique for the treatment of inguinal hernia


Shouldice Hospital, 7750 Bayview Avenue, Thornhill, Ontario L3T 4A3, Canada

Correspondence Address:
Chin Keung Chan
Shouldice Hospital, 7750 Bayview Avenue, Thornhill, Ontario L3T 4A3
Canada
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.27723

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The Shouldice repair has been refined over several decades and is the gold standard for the prosthesis-free treatment of inguinal hernias. A recurrence rate around 1% has been consistently demonstrated over the years. The objective of this paper is to outline and highlight the key principles, including the dedicated pre-operative preparation, the use of local anesthesia, a complete inguinal dissection and the eponymous four-layered reconstruction. A knowledge and understanding of inguinal hernia anatomy and the patho-physiology of recurrence are vital to achieving a long-term success and patient satisfaction for a pure tissue repair.






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