[Treatment of inguinal hernias by classical approach and under local anesthesia]

Area of Science:

• Surgery
• Hernia Repair
• Surgical Techniques

Background:

• The Shouldice operation is widely recognized as the optimal surgical treatment for inguinal hernias.
• Conventional open hernia repair techniques are well-established in surgical practice.

Purpose of the Study:

• To provide a detailed description of the surgical and anesthesiological techniques employed in the Shouldice operation.
• To evaluate the current role of conventional open inguinal hernia surgery in comparison to emerging laparoscopic approaches.

Main Methods:

• Detailed explanation of the Shouldice surgical procedure.
• Description of the anesthesiological management for the Shouldice operation.
• Comparative analysis of open versus laparoscopic hernia repair.

Main Results:

• The Shouldice operation involves specific surgical steps and anesthetic considerations.
• Open hernia surgery, exemplified by the Shouldice technique, faces increasing discussion regarding its place alongside laparoscopic methods.

Conclusions:

• The Shouldice operation remains a benchmark in inguinal hernia surgery due to its established efficacy.
• The evolving landscape of hernia repair necessitates a continued evaluation of open surgical techniques against advancements in minimally invasive approaches.