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any consensus on “best” nonmesh repair?
Is there any consensus on which of the named non-mesh repairs has the lowest rate of recurrence and lowest rate of complications (e.g., nerve damage)?
–Shouldice
–McVay
–Disarda
–Bassini
(I might be missing some). -
6 Replies
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Tailored approach. No best repair.
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@alephy
Marcy with a ringplasy.
With a desarda to reinforce.
Regards.
Bill Brown MD -
@drbrown which procedure would you recommend for an adult perfect weight with a small indirect inguinal hernia?
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@deeoeraclea
The best repair depends on whether the hernia is direct or indirect and the health of the patient.
For example, A Shouldice would be overkill for an indirect hernia in a teenager.
And none of the repairs will work with an obese smoker.
Regards.
Bill Brown MD -
I believe that a Shouldice is considered the gold standard non mesh repair for inguinal hernia. It has a 50 year great track record.
It has been argued here by some surgeons that a best repair depends on the type of hernia and the condition of the patient.
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I believe that a Shouldice is considered the gold standard non mesh repair for inguinal hernia. It has a 50 year great track record.
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