medigraphic.com

2002, Number 1

<< Back Next >>

Rev Med Hosp Gen Mex 2002; 65 (1)

A simplification to the Shouldice technique for the repair of groin hernia. A pilot study in ten patients

Cervantes-Sánchez CR

Language: Spanish
References: 14
Page: 7-10
PDF size: 199.54 Kb.


ABSTRACT

The inguinal herniorrhaphy is the most common elective procedure performed in the entire world. A great deal of effort has been applied to find the most suitable surgical procedure to treat this condition, and many techniques have been abandoned because the lack of good results. Until date there is still not any surgical technique universally accepted to be applied to the routine practice. This paper describes a pilot study in ten patients that received a simplification to the Shouldice technique for the treatment of groin hernia, which has the largest statistic of performed procedures (more than 216,000) and with the lowest recurrence rate (less than 1%). In the performance of this new technique, the principles of the Shouldice technique are preserved, as they are 1) adjustment of the deep inguinal orifice and 2) reinforcement of the posterior wall of the inguinal canal at the Hesselbach’s triangle, with the advantage of tension release through a simple running suture with a synthetic non-absorbable material.


REFERENCES

  1. Nyhus LM, Condon RE. Hernia. 3th ed. Philadelphia, Pennsylvania: JB Lippincott, 1989.

  2. Nyhus LM, Klein MS, Bogers FB. Inguinal hernia. Curr Probl Surg 1991; 28 (6): 405-450.

  3. Nyhus LM, Baker RJ. Surgery of hernia. In: Mastery of surgery. 2th ed. Boston, Massachusetts: Little Brown, 1992; 1557-1628.

  4. Griffith CA. The Marcy repair revisited. Surg Clin North Am 1984; 64 (2): 215.

  5. Wantz GE. The operation of Bassini as described by Attilio Catterina. Surg Gynecol Obstet 1989; 168 (1); 67-80.

  6. Nyhus LM, Condon RE, Harkins HN. Clinical experiences with preperitoneal hernia repair for all types of hernia of the groin. Am J Surg 1960; 100: 234-244.

  7. McVay CB, Anson BJ. A fundamental error in current methods of inguinal herniorrhaphy. Surg Gynecol Obstet 1942; 74: 746.

  8. Shearburn EW, Myers RN. Shouldice repair for inguinal hernia. Surgery 1969; 66 (2): 450-459.

  9. Devlin HB, Gillen PHA, Waxman BP, McNay RA. Short stay surgery for the inguinal hernia: experience of Shouldice operation, 1970-1982. Br J Surg 1986; 73 (2): 123-124.

  10. Kux M, Fuchsjäger N, Schemper M. Shouldice is superior to Bassini inguinal herniorrhaphy. Am J Surg 1994; 168: 15-18.

  11. Kingsnorth AN, Gray MR, Nott DM. Prospective randomized trial comparing the Shouldice technique and plication dan for inguinal hernia. Br J Surg 1992; 79: 1068-1070.

  12. Glassow F. Inguinal hernia repair. A comparison of the Shouldice and Cooper ligament repair of the posterior inguinal wall. Am J Surg 1976; 131: 306-311.

  13. Hay JM, Boudet MJ, Fingerhut A, Poucher J, Hennet H et al and the French Association for Surgical Research. Shouldice inguinal hernia repair in the male adult: The gold standard?. A multicenter controlled trial in 1578 patients. Ann Surg 1995; 222 (6): 719-727.

  14. Sisley JF, Scarborough CS, Morris RC, Jennings WD. Shouldice hernia repair: Results at a teaching institution. Am Surg 1987; 53: 495-496.




2020     |     www.medigraphic.com