Non mesh hernia repair
What is the Shouldice Repair?
The Shouldice repair is a specialized surgical technique for treating inguinal hernias without using mesh. It is known for its meticulous, four-layer approach, which includes:
- Excising the transversalis fascia
- Creating upper and lower flaps
- Overlapping these flaps with two layers of sutures
- Suturing the conjoined tendon to the inguinal ligament in two overlapping layers
Closing the external oblique aponeurosis in a double-breasted fashion over the spermatic cord.
The Shouldice repair is a specialized surgical technique used to treat inguinal hernias without the use of mesh. This method focuses on repairing the hernia by strengthening the abdominal wall through a meticulous, multi-layered approach.
When is the Shouldice Repair Necessary?
The Shouldice repair is recommended for individuals with inguinal hernias, which occur when a portion of the intestine or other tissue protrudes through a weak spot in the abdominal wall. Symptoms may include a noticeable bulge in the groin area, and pain or discomfort, especially when bending over or lifting heavy objects. The procedure aims to address these issues and prevent complications such as incarceration or strangulation of the hernia.
How the Shouldice Repair is Performed at Gandhi Nursing Home:
Excising the Transversalis Fascia:
- The surgeon begins by carefully removing the transversal fascia, a layer of connective tissue in the abdominal wall.
Creating Upper and Lower Flaps:
- The area is prepared by creating upper and lower flaps from the surrounding tissue.
Overlapping Flaps with Sutures:
- These flaps are then overlapped and secured with two layers of sutures to provide a robust repair.
Suturing the Conjoined Tendon:
- The conjoined tendon is sutured to the inguinal ligament in two overlapping layers to reinforce the area.
Closing the External Oblique Aponeurosis:
- The external oblique aponeurosis is closed in a double-breasted fashion over the spermatic cord, ensuring a secure and lasting repair.
What to Expect Before the Shouldice Repair:
Before the procedure, you will undergo a series of evaluations, including physical examinations and imaging studies, to confirm the presence of the hernia and plan the surgery. Our expert surgeons at Gandhi Nursing Home will discuss the details of the procedure with you, answer any questions you may have, and provide pre-operative instructions.
The Day of the Shouldice Repair at Gandhi Nursing Home:
On the day of the surgery, you will be given anesthesia to ensure you are comfortable throughout the procedure. Our skilled surgeons will perform the Shouldice repair with precision, utilizing the specialized techniques described above.
Recovery and Aftercare at Gandhi Nursing Home:
Following the surgery, you will be monitored in our recovery area. Most patients can return home within a day or two, depending on individual recovery. Our team will provide comprehensive postoperative care instructions, including advice on activities, medications, and follow-up appointments to ensure a smooth recovery.
Why Choose Gandhi Nursing Home for the Shouldice Repair?
Expert Surgeons:
- Our experienced surgeons are highly skilled in the Shouldice repair technique, providing you with the highest standard of care.
Patient-Centered Care:
- At Gandhi Nursing Home, your comfort and recovery are our priorities. We offer personalized care and support throughout your surgical journey.
State-of-the-Art Facilities:
- Benefit from modern, technologically advanced facilities designed to ensure your safety and optimal surgical outcomes.