Skip to main content
Top
Published in: Hernia 1/2004

01-02-2004 | Original Article

The Shouldice herniorrhaphy in the treatment of inguinal hernias: A prospective study on 775 patients

Authors: J. L. Porrero, M. Hidalgo, A. Sanjuanbenito, C. Sanchez-Cabezudo

Published in: Hernia | Issue 1/2004

Login to get access

Abstract

The authors present a study of 775 patients who underwent a Shouldice herniorrhaphy between 1987 and 2000, as performed by one surgeon. Average patient age was 52 years, and 93% of patients were male. Local anesthesia with sedation was used in 643 cases (83%) and regional anesthesia in 13%. The length of the incision was 9.5 cm. The average duration of surgery was 57.5 min (40–75). Tolerance to local anesthesia with sedation was 93%, a similar percentage to that of general anesthesia. The most significant postoperative complications were: urinary retention 8%, headache 7%, and ecchymosis 6%. Hospitalization time in 76% of the cases was 1 day, while 20% of interventions were undertaken on an outpatient basis. The average absence from work was 20 days. The recurrence rate at 7 years was 2%.
Literature
1.
go back to reference Lichtenstein IL, Shulman AG (1986) Ambulatory outpatients hernia surgery, including a new concept, introducing tension-free repair. Int Surg 71; 1–4 Lichtenstein IL, Shulman AG (1986) Ambulatory outpatients hernia surgery, including a new concept, introducing tension-free repair. Int Surg 71; 1–4
2.
go back to reference Hay JM, Boudet MJ, Fingerhut A, Pourcher J, Hennet H, Habib E, Veyrieres M, Flamant Y (1995) Shouldice inguinal hernia repair in the male adult: The gold standard? A multicenter controlled trial in 1578 patients. Ann Surg 222:719–727PubMed Hay JM, Boudet MJ, Fingerhut A, Pourcher J, Hennet H, Habib E, Veyrieres M, Flamant Y (1995) Shouldice inguinal hernia repair in the male adult: The gold standard? A multicenter controlled trial in 1578 patients. Ann Surg 222:719–727PubMed
3.
go back to reference Welsh DR, Alexander MAJ (1993) Reparación de Shouldice. Clínicas Quirúrgicas de Norteamérica. McGraw-Hill Interamericana; 3: pp 485–504 Welsh DR, Alexander MAJ (1993) Reparación de Shouldice. Clínicas Quirúrgicas de Norteamérica. McGraw-Hill Interamericana; 3: pp 485–504
4.
go back to reference Danielsson P, Issacson S, Hansen MV (1999) Randomized study of Lichtenstein compared with Shouldice inguinal hernia repair by surgeons in training. Eur J Surg 165:49–53PubMed Danielsson P, Issacson S, Hansen MV (1999) Randomized study of Lichtenstein compared with Shouldice inguinal hernia repair by surgeons in training. Eur J Surg 165:49–53PubMed
5.
go back to reference Barth RJ, Burchand KW, Tosteson A (1998) Short-term outcome after mesh or Shouldice herniorrhaphy: a randomized prospective study. Surgery 123:121–126PubMed Barth RJ, Burchand KW, Tosteson A (1998) Short-term outcome after mesh or Shouldice herniorrhaphy: a randomized prospective study. Surgery 123:121–126PubMed
6.
go back to reference Porrero JL, Diez M, Gallego JL, Hernández F, Solana M, Enríquez Navascues JM, et al. (1993) Herniorrhaphy de Shouldice en el tratamiento de la hernia inguinal. Estudio preliminar a propósito de 120 casos (1987–1991) Cir Esp 54:49–51 Porrero JL, Diez M, Gallego JL, Hernández F, Solana M, Enríquez Navascues JM, et al. (1993) Herniorrhaphy de Shouldice en el tratamiento de la hernia inguinal. Estudio preliminar a propósito de 120 casos (1987–1991) Cir Esp 54:49–51
7.
go back to reference Callesen T, Bech K, Kehlet H, Hvidrove Hospital Hernia Group (1998) The feasibility, safety and cost of infiltration anesthesia for hernia repair. Anaesthesia 53:31–35PubMed Callesen T, Bech K, Kehlet H, Hvidrove Hospital Hernia Group (1998) The feasibility, safety and cost of infiltration anesthesia for hernia repair. Anaesthesia 53:31–35PubMed
8.
go back to reference Peiper C, Tons C, Schippers E, Bush F, Schumpelick V (1994) Local versus general anesthesia for Shouldice repair of inguinal hernia. World J Surg 18:912–916PubMed Peiper C, Tons C, Schippers E, Bush F, Schumpelick V (1994) Local versus general anesthesia for Shouldice repair of inguinal hernia. World J Surg 18:912–916PubMed
9.
go back to reference Amid PK, Lichtenstein IL (1997) Técnica de Lichtenstein de hernioplastia abierta sin tensión. En: Porrero JL. Cirugía de la pared abdominal. Barcelona: Masson 11: pp 74–80 Amid PK, Lichtenstein IL (1997) Técnica de Lichtenstein de hernioplastia abierta sin tensión. En: Porrero JL. Cirugía de la pared abdominal. Barcelona: Masson 11: pp 74–80
10.
go back to reference Kingsnorth AN, Porter CS, Bennett DH, Walker AJ, Hyland ME, Sodergren S (2000) Lichtenstein patch or perfix plug-and-patch in inguinal hernia: A prospective double-blind randomized controlled trial of short-term outcome. Surgery 127:276–283PubMed Kingsnorth AN, Porter CS, Bennett DH, Walker AJ, Hyland ME, Sodergren S (2000) Lichtenstein patch or perfix plug-and-patch in inguinal hernia: A prospective double-blind randomized controlled trial of short-term outcome. Surgery 127:276–283PubMed
11.
go back to reference McGillicuddy JE (1998) Prospective randomized comparison of the Shouldice and Lichtenstein hernia repair procedures. Arch Surg 133:974–978PubMed McGillicuddy JE (1998) Prospective randomized comparison of the Shouldice and Lichtenstein hernia repair procedures. Arch Surg 133:974–978PubMed
12.
go back to reference Kux M, Fuchsjager N, Feichter A (1994) Lichtenstein-patch versus Shouldice-Technik bei primaren Leistenhernien mit hoher Rezidivgehahrdung. Chirurg 65:59–62PubMed Kux M, Fuchsjager N, Feichter A (1994) Lichtenstein-patch versus Shouldice-Technik bei primaren Leistenhernien mit hoher Rezidivgehahrdung. Chirurg 65:59–62PubMed
13.
go back to reference Simons MP, Kleijnen J, van Geldere D, Hoitsma HFW, Obertop H (1996) Role of the Shouldice technique in inguinal hernia repair: a systematic review of controlled trials and a meta-analysis. Br J Surg 1996; 83:734–738 Simons MP, Kleijnen J, van Geldere D, Hoitsma HFW, Obertop H (1996) Role of the Shouldice technique in inguinal hernia repair: a systematic review of controlled trials and a meta-analysis. Br J Surg 1996; 83:734–738
14.
go back to reference Hetzer FH, Hotz T, Steinke, Schlumpf R, Decurtins M, Largiader F (1999) Gold standard or inguinal hernia repair: Shouldice or Lichtenstein? Hernia 3:117–120 Hetzer FH, Hotz T, Steinke, Schlumpf R, Decurtins M, Largiader F (1999) Gold standard or inguinal hernia repair: Shouldice or Lichtenstein? Hernia 3:117–120
15.
go back to reference Bendavid R (1998) Complicaciones en la cirugía de la hernia inguinal. En: Clínicas Quirúrgicas de Norteamérica. McGraw Hill. Interamericana; 6:1027–1040 Bendavid R (1998) Complicaciones en la cirugía de la hernia inguinal. En: Clínicas Quirúrgicas de Norteamérica. McGraw Hill. Interamericana; 6:1027–1040
16.
go back to reference Porrero JL, Sanchez-Cabezudo C, Lee P (1998) Study of unilateral postherniorraphy analgesia with local anesthetic and monitored anesthesia care. Amb Surg 6:211–214CrossRef Porrero JL, Sanchez-Cabezudo C, Lee P (1998) Study of unilateral postherniorraphy analgesia with local anesthetic and monitored anesthesia care. Amb Surg 6:211–214CrossRef
17.
go back to reference Schrenk P, Woisetschlager R, Rieger R, Wayanand W (1996) Prospective randomized trial comparing postoperative pain and return to physical activity after transabdominal preperitoneal, total preperitoneal or Shouldice technique for inguinal hernia repair. Br J Surg 83:1563–1566PubMed Schrenk P, Woisetschlager R, Rieger R, Wayanand W (1996) Prospective randomized trial comparing postoperative pain and return to physical activity after transabdominal preperitoneal, total preperitoneal or Shouldice technique for inguinal hernia repair. Br J Surg 83:1563–1566PubMed
18.
go back to reference Royo-Bordonada MA (1999) La duración de la incapacidad laboral y sus factores asociados. Gac Sanit 13:177–184PubMed Royo-Bordonada MA (1999) La duración de la incapacidad laboral y sus factores asociados. Gac Sanit 13:177–184PubMed
19.
go back to reference Konsigner JS, Ouster M, Butters M (1998) Leistenhernienversonrgung ein vergleich gangiger verfahren. Chirurg 69:1340–134PubMed Konsigner JS, Ouster M, Butters M (1998) Leistenhernienversonrgung ein vergleich gangiger verfahren. Chirurg 69:1340–134PubMed
20.
go back to reference Stoker DL, Spiegelhalter DJ, Singh R, Wellwood JM (1994) Laparoscopic versus open inguinal hernia repair: randomized prospective trial. Lancet 343:1243–1245PubMed Stoker DL, Spiegelhalter DJ, Singh R, Wellwood JM (1994) Laparoscopic versus open inguinal hernia repair: randomized prospective trial. Lancet 343:1243–1245PubMed
21.
go back to reference Berndsen E, Arvidsson D, Enander LK, Leijonmarck CE, Wingren U, Rudberg C, Smedberg S, Wickbom G, Montgomery A (2002) Postoperative convalescence after inguinal hernia surgery: Prospective randomized multicenter study of laparoscopic versus Shouldice inguinal hernia repair in 1,042 patients. Hernia 6:56–61CrossRefPubMed Berndsen E, Arvidsson D, Enander LK, Leijonmarck CE, Wingren U, Rudberg C, Smedberg S, Wickbom G, Montgomery A (2002) Postoperative convalescence after inguinal hernia surgery: Prospective randomized multicenter study of laparoscopic versus Shouldice inguinal hernia repair in 1,042 patients. Hernia 6:56–61CrossRefPubMed
22.
go back to reference Medical Research Council Laparoscopic Inguinal Hernia Trial Group (2001) Cost-utility analysis of open versus laparoscopic inguinal hernia repair: results from a multicenter randomized clinical trial. Br J Surg 88:653–661CrossRefPubMed Medical Research Council Laparoscopic Inguinal Hernia Trial Group (2001) Cost-utility analysis of open versus laparoscopic inguinal hernia repair: results from a multicenter randomized clinical trial. Br J Surg 88:653–661CrossRefPubMed
23.
go back to reference Swanstrom LL (2000) Reparación de hernias mediante laparoscopia. Importancia del coste como índice de resultados en el final del siglo. Clínicas Quirúrgicas de Norteamérica. McGraw-Hill Interamericana; 4: pp 1405–1416 Swanstrom LL (2000) Reparación de hernias mediante laparoscopia. Importancia del coste como índice de resultados en el final del siglo. Clínicas Quirúrgicas de Norteamérica. McGraw-Hill Interamericana; 4: pp 1405–1416
24.
go back to reference Bobrzynski A, Budzynski A, Biesiada Z, Kowalczyk M, Lubikowski J, Sienko J (2001) Experience the key factor in successful laparoscopic total extraperitoneal and transabdominal preperitoneal hernia repair. Hernia 5:80–83PubMed Bobrzynski A, Budzynski A, Biesiada Z, Kowalczyk M, Lubikowski J, Sienko J (2001) Experience the key factor in successful laparoscopic total extraperitoneal and transabdominal preperitoneal hernia repair. Hernia 5:80–83PubMed
Metadata
Title
The Shouldice herniorrhaphy in the treatment of inguinal hernias: A prospective study on 775 patients
Authors
J. L. Porrero
M. Hidalgo
A. Sanjuanbenito
C. Sanchez-Cabezudo
Publication date
01-02-2004
Publisher
Springer-Verlag
Published in
Hernia / Issue 1/2004
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-003-0189-y

Other articles of this Issue 1/2004

Hernia 1/2004 Go to the issue