• The Elusive 4-layer Shouldice?

  Posted by Thunder Rose on September 21, 2020 at 3:23 pm

  Do any surgeons still do a true 4-layer Shouldice repair, where there are 4 lines of sutures (2 sets of 2 lines of continuous sutures), as described in Glassow: 1973? (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1941165/pdf/canmedaj01661-0043.pdf) Or do modern 4-layer Shouldice repairs always count the 4th layer as the closing of the external oblique aponeurosis? Thanks to anyone who can chime in. Moving beyond the 2-layer vs. 4-layer question I’m finding there’s a lot more to unpack.

  • This discussion was modified 4 years, 2 months ago by  Thunder Rose.

  drtowfigh replied 4 years, 2 months ago 2 Members · 1 Reply
• 1 Reply

• 

  drtowfigh

  Moderator

  September 24, 2020 at 6:54 pm

  Shouldice is 4 layers. I’m not aware of surgeons doing it differently.

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