title: [10 years' experience using a modified Shouldice surgical technic for inguinal hernia in adults. I. Method and results in 726 operations with follow-up].
abstract: Since 1973 we have used a modified Shouldice repair to treat inguinal hernias in adults. The repair was performed on unselected patients. The procedure was performed by both senior surgeons and surgeons in training. Over a 10-years period, 880 transversalis fascia repairs were done and 726 (82.5%) were examined by the authors 12-142 months after the operation (mean time 66.1 months). In 94.2% of the 726 repairs the patients were satisfied with the result. Follow-up studies revealed testicular atrophy in 0.6%, deep wound infection in 0.8% and an overall recurrence rate of 5.8%. The recurrence rate was not significantly different after direct, indirect, combined or sliding hernias. In 25% of recurrences the patients were asymptomatic and unaware of the recurrence.
mesh_terms: D000328:Adult; D000071938:Fasciotomy; D005260:Female; D005500:Follow-Up Studies; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D009132:Muscles / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology; D012008:Recurrence; D013536:Suture Techniques
vernacular_title: 10 Jahre Erfahrung mit einer modifizierten Operationstechnik nach Shouldice für Inguinalhernien bei Erwachsenen. I. Methode und Resultate bei 726 nachkontrollierten Operationen.