Reply To: Question for Dr. Towfigh
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05/15/2023 at 8:25 am #34985
All tissue repairs are tighter than mesh repairs.
Shouldice is the best repair option from a recurrence standpoint. But it’s not necessarily the best for small inguinal hernias in women (I prefer March for those) and it’s not for femoral hernias (McVay is more appropriate). Bassini is another options especially in revisional repairs where tissue planes are hard to assess.
We usually add a fascial release if the standard tissue repair is too tight.