Shouldice herniorrhaphy technique: surgeons need to remember it

Abstract

AimHernia surgery is the second most common surgical intervention per-formed by general surgeons following emergent surgeries. Shouldice her-niorraphy is a classical surgery which is in the high tension repair group. This technique should be known by every surgeon. Also being an alternative method, it can be a necessity in cases in which tension free methods can not be performed. In the present study we investigated the advantages, disad-vantages and complications of the Shouldice herniorraphy and Lichtenstein technique with the review of the technical literature.MethodsWe compared 75 patients who were diagnosed with inguinal hernia and treated with Lichtenstein herniorraphy with 33 patients who were treated with Shouldice herniorraphy in Samsun Bafra Public Hospital between April 2007 and May 2008. Age, sex, hernia type, anesthesia method, mean hospi-talisation length, early and late post operative complications were recorded.ResultsEarly post operative complications were urinary retention, wound in-fection and hematoma. The patients under spinal anesthesia with urinary re-tention were treated with urinary catheterization. Superficial wound infection was treated with drainage and antibiotic threapy. Among late postoperative complications; we observed paresthesia in the thigh in one patient in the Shouldice group and relapse hernia in one patient in the Lichtenstein group.ConclusionWe suggest that this surgical technique which should be known by every surgeon should be taught to new surgery attenders as an alternative technique. This technique can be an alternative method and also may be the first choice in patients in whom tension free methods can not be applicated.

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