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[Inguinal hernia repair with the Shouldice technique]
N C e Silva1, M C Reis, A P Cândido Lima
1Serviço de Cirurgia do Hospital das Clínicas da Universidade Federal de Minas Gerais.
Revista Do Hospital Das Clinicas
|November 1, 1995
Summary
The Shouldice inguinal hernia repair shows a low recurrence rate of 0.8% for primary hernias and 4.9% for recurrent ones. This study analyzes outcomes in 1000 patients over a decade.
Area of Science:
- Surgery
- Gastroenterology
Background:
- Inguinal hernias are common surgical conditions.
- The Shouldice repair is a widely used technique for inguinal hernia treatment.
Purpose of the Study:
- To evaluate the long-term outcomes of the Shouldice inguinal hernia repair.
- To determine the recurrence rates for primary and recurrent inguinal hernias treated with the Shouldice technique.
Main Methods:
- Retrospective analysis of 1034 Shouldice inguinal hernia repairs in 1000 patients.
- Data collected included hernia type, patient demographics, and post-operative follow-up up to 10 years.
- Recurrence rates were calculated for primary and recurrent hernias.
Main Results:
- The study included 1034 hernias (966 unilateral, 68 bilateral) in 1000 patients (mean age 50 years, 96.9% male).
- Indirect hernias were most common (61.7%).
- Overall recurrence rate was 9.9% (102 cases), with 0.8% for primary and 4.9% for recurrent hernias.
Conclusions:
- The Shouldice inguinal hernia repair demonstrates a low recurrence rate, particularly for primary hernias.
- The technique is effective for both primary and recurrent inguinal hernias.
- Long-term follow-up confirms the durability of the Shouldice repair.