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The Shouldice technique is the most effective non-mesh repair thus making it one of the most commonly utilized methods. [29] Numerous studies have been able to validate the conclusion that patients have lower rates of hernia recurrence with the Shouldice technique as compared to other non-mesh repair techniques. [48]
An operation in which the hernia sac is removed without any repair of the inguinal canal is described as a herniotomy. When herniotomy is combined with a reinforced repair of the posterior inguinal canal wall with autogenous (patient's own tissue) or heterogeneous material such as prolene mesh, it is termed hernioplasty as opposed to ...
Post herniorrhaphy pain syndrome, or inguinodynia is pain or discomfort lasting greater than 3 months after surgery of inguinal hernia. Randomized trials of laparoscopic vs open inguinal hernia repair have demonstrated similar recurrence rates with the use of mesh and have identified that chronic groin pain (>10%) surpasses recurrence (<2%) and is an important measure of success.
Shouldice Hospital is a private hospital that operates in a public health care system. [6] It works solely on hernia repair. [1] It uses a natural tissue, tension free, technique developed during World War II by Dr. Shouldice. The hospital performs hernia repairs on over 6,500 patients a year. [7] [better source needed]
Surgical mesh can be made from both inorganic and biological materials and is used in a variety of surgeries, although hernia repair is the most common application. It can also be used for reconstructive work, such as in pelvic organ prolapse [ 1 ] or to repair physical defects (mainly of body cavity walls) created by extensive resections or ...
The mesh is placed either over the defect (anterior repair) or under the defect (posterior repair). At times staples are used to keep the mesh in place. These mesh repair methods [ broken anchor ] are often called "tension free" repairs because, unlike some suture methods (e.g., Shouldice), muscle is not pulled together under tension.
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