any consensus on “best” nonmesh repair?

Hernia Discussion Forums Hernia Discussion any consensus on “best” nonmesh repair?

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    • #21156
      JamesDoncaster
      Participant

      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).

    • #21157
      idoncov
      Participant

      I believe that a Shouldice is considered the gold standard non mesh repair for inguinal hernia. It has a 50 year great track record.

    • #21158
      idoncov
      Participant

      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.

    • #21164
      DrBrown
      Participant

      @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

    • #21202
      Alephy
      Participant

      @drbrown which procedure would you recommend for an adult perfect weight with a small indirect inguinal hernia?

    • #21211
      DrBrown
      Participant

      @alephy
      Marcy with a ringplasy.
      With a desarda to reinforce.
      Regards.
      Bill Brown MD

    • #21514
      drtowfigh
      Keymaster

      Tailored approach. No best repair.

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