Shouldice Hernia Repair

Shouldice hernia repair is the repair of inguinal hernias without the use of mesh. This technique has improved outcomes from older non-mesh repairs.

What is a Hernia?

A hernia is a hole in the muscular abdominal wall. It can be located in many locations.  The most common locations are the groin area (inguinal or femoral hernia) and in the belly button (umbilical hernia).  The hernia can cause discomfort or possibly even emergency issues because of the possibility of the intestine getting caught in and squeezed by the hernia hole.

What is the Shouldice (no mesh) Repair Technique?

This is a unique approach to the repair of inguinal hernias in the groin that avoids the use of mesh. It is an elegant operation involving the sewing of distinct anatomical layers together in 4 layers using a permanent suture. It is a technique developed by Dr. Shouldice as part of an evolution from historic repairs known as Bassini Repairs. The Shouldice repair has improved outcomes over older nonmesh repairs with lower risks of hernia recurrence.

The Shouldice repair has a history of great success for cure of the hernia and minimal risk of injury to the patient.

The Shouldice Clinic outside of Toronto, Canada has demonstrated extraordinary safety and durability with their technique. The technique was designed by Dr.Edward Earle Shouldice and became popular when he opened his hernia hospital in 1945 and his technique has attracted patients from all over the world. To this day - the surgeons at the Shouldice Hernia Clinic - provide extraordinary care for their patients and continue to have excellent results. I do everything possible to uphold their standards in performing the Shouldice inguinal hernia repair.

At Center for Hernia Repair in Sarasota, Florida, we proudly offer the Shouldice inguinal hernia repair technique to our patients. After many years of studying, observing other experts, and personal experience - I will provide a perfect Shouldice repair for my patients. As I have become expert at the variable three-dimensional anatomy of the inguinal canal - the Shouldice inguinal repair technique is brilliant and proven.

Is the Shouldice Repair Right for You?

While there are many techniques used for inguinal hernia repair - some techniques are best matched with certain types of patients.

While it is not proven, many hernia experts agree that young, thin active people have a higher risk of pain or discomfort in the long term with the use of mesh. At the same time, it is clear that when mesh is used correctly in the right patient there is a lower risk of long term recurrence of the hernia. In expert hands, laparoscopic and robotic techniques of inguinal hernia repair mesh placement has a risk of recurrence and complications of under 1 percent.

Despite our extraordinary results with laparoscopic and robotic techniques of inguinal hernia repair, it remains clear that the avoidance of mesh in some patients eliminates the risk of chronic discomfort or pain and with a small price of a slightly higher risk of recurrence. Therefore a non mesh inguinal hernia repair may be the most "minimally invasive" option.
surgeon in mask

What to Expect After Shouldice Inguinal Hernia Repair

The biggest variable after this surgery is the degree of pain after the operation.

90-95% of patients undergoing a Shouldice inguinal hernia repair will experience mild to moderate pain in the first 8-12 hours after surgery. These patients are frequently able to avoid prescription pain medicine after surgery.

5-10% of patients will experience significant pain requiring prescription pain medicine.

99% of patients are comfortable at rest within 5 days of the operation and tolerate symptoms with ibuprofen and /or acetaminophen alone.

Returning to Activities after Surgery ...

Return to office type job within 3-5 days after surgery depending on level of discomfort.

Return to 30 lb lifting as soon as you feel comfortable.

Return to extraordinary physical activities performed by high performance athletes and those with physical demanding occupations is dependent on multiple factors and is not uniform for all.

Learn more about what to expect after hernia surgery.

Overall - most patients find the Shouldice repair of their inguinal hernia to be a good experience and easily tolerated.

Contact Us Today

Call us at 941-953-5917 to discuss your options.

Center for Hernia Repair

1435 South Osprey Avenue
Suite 201
Sarasota, Florida 34239
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