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Updated: Aug 8, 2026
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
["Canadian" hernioplasty with embrication. Anatomy, surgical technic, and personal experience]
G Baita1, R Brancher, G De Luca
1Ospedale Civile E. De Sanctis, Divisione di Chirurgia Generale, USL RM 34, Genzano, Roma.
Insights
The Shouldice method, a surgical repair for inguinal hernias, was used in over 400 cases. This technique is recommended for primary direct and large adult indirect inguinal hernias.
Area of Science:
- General Surgery
- Surgical Innovation
Background:
- Inguinal hernias are a common surgical condition.
- Various surgical techniques exist for inguinal hernia repair.
Purpose of the Study:
- To evaluate the efficacy of Shouldice hernioplasty for non-recurrent inguinal hernias.
- To detail the "Canadian" surgical technique.
Main Methods:
- Surgical repair using Shouldice hernioplasty.
- Analysis of over 400 cases of non-recurrent hernias.
- Detailed description of the surgical technique and anatomical considerations.
Main Results:
- The study involved over 400 patients with non-recurrent inguinal hernias.
- The "Canadian" surgical technique (Shouldice method) was employed.
- Anatomical aspects of the inguinal canal were reviewed.
Conclusions:
- Shouldice hernioplasty is an effective surgical option.
- The method is particularly suitable for primary direct inguinal hernias.
- It is also recommended for voluminous indirect inguinal hernias in adults.
Abstract:
Among the numerous operations proposed for the treatment of inguinal hernia, the authors utilised Shouldice's method of hernioplasty in over 400 cases of non-recurrent hernia. After drawing attention to a few anatomical type specifications regarding the inguinal canal structures, the "Canadian" surgical technique is described in detail. The authors analyse the various methods of hernioplasty now used and conclude that Shouldice's method should be considered elective in the treatment of primary direct inguinal hernias and voluminous indirect hernias in adults.
