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HERO ID
7075113
Reference Type
Journal Article
Title
The Shouldice technique: a canon in hernia repair
Author(s)
Bendavid, R; ,
Year
1997
Is Peer Reviewed?
Yes
Journal
Canadian Journal of Surgery
ISSN:
0008-428X
Language
English
PMID
9194781
Abstract
Controversy exists on the merits of the various approaches to inguinal repair. Evolution of the classic open repair has culminated in the Shouldice repair. Challenges from newcomers, namely, tension-free repair and laparoscopy, are being examined. These two techniques have a number of disadvantages: the presence of foreign bodies (prostheses) and their implication in cases of infection; the cost of prosthetic material, which is no longer negligible (particularly with expanded polytetrafluoroethylene); and problems of safety in that the laparoscopic approach is no longer a dependable asset except in the hands of a highly specialized and dextrous operator. Still, complications occur with laparoscopic repair that should not be associated with a surgical procedure that is considered benign, safe and cost-effective. Surgeons must recognize the pertinent facts and decide according to their conscience which method of repair to use.
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