title: The Shouldice repair for groin hernias.
abstract: The Shouldice pure tissue repair for groin hernias, a tested and proven procedure, continues to provide great patient satisfaction. The complete dissection lends itself to the discovery of secondary hernias. The procedure is designed so that these secondary defects are easily incorporated into the repair. Mesh is employed infrequently, only in those cases where there is a lack of tissue or scarring has minimized flexibility. Performed under local anesthetic, complications are minimal and early return to work is a feature. With a more than 50-year history of thousands of successful operations annually, the Shouldice procedure should continue to merit consideration by all surgeons striving for excellence in hernia repair.
authors.affiliation: Department of Surgery, Shouldice Hospital, 7750 Bayview Avenue, Thornhill, Ontario, Canada L3T 4A3. ggordon@shouldice.com
authors.forename: E Byrnes
authors.initials: EB
authors.lastname: Shouldice
mesh_terms: D013505:Digestive System Surgical Procedures / Q000379:methods*; D004210:Dissection; D006550:Hernia, Femoral / Q000601:surgery; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D012008:Recurrence; D013526:Surgical Mesh; D013536:Suture Techniques