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[Bassini or Shouldice operation?].

R Hoffmann1, T Frick, B Attinger

  • 1Klinik für Viszeralchirurgie, Universitätsspital Zürich.

Helvetica Chirurgica Acta
|July 1, 1991
PubMed
Summary
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The Shouldice hernia repair technique resulted in shorter hospital stays and significantly lower recurrence rates compared to the Bassini procedure. This study suggests Shouldice is a superior method for hernia repair.

Area of Science:

  • General Surgery
  • Surgical Techniques

Background:

  • Hernia repair is a common surgical procedure.
  • The Bassini and Shouldice techniques are widely used methods for hernia repair.

Purpose of the Study:

  • To compare the efficacy and outcomes of the Bassini and Shouldice techniques for hernia repair.
  • To evaluate postoperative complication rates, hospital stay duration, and hernia recurrence incidence between the two surgical methods.

Main Methods:

  • A controlled, prospective study was conducted between October 1988 and March 1990.
  • 155 patients underwent hernia repair, with 100 receiving the Shouldice technique and 55 the Bassini technique.
  • Most procedures were performed under local anesthesia.

Main Results:

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  • No significant difference in postoperative complication rates (hematoma, wound infection) was observed between the Bassini and Shouldice groups.
  • Patients undergoing the Shouldice procedure experienced a shorter hospital stay.
  • The recurrence rate was significantly lower after the Shouldice procedure (1%) compared to the Bassini procedure (10.9%).
  • An increased risk of recurrence was noted in patients with prior hernia who underwent the Bassini operation.

Conclusions:

  • The Shouldice technique is associated with a significantly lower incidence of recurrent hernia and a shorter hospital stay compared to the Bassini technique.
  • Based on these findings, the Bassini method was abandoned in favor of the Shouldice procedure for hernia repair.