Here is a link to the European Hernia Society page. They still show the big corporations on the front page. Becton Dickinson, Medtronic, Intuitive and CMR Surgical. Gore and Dynamesh on the sponsors page.
They also have a link to the International Guidelines, as a summary, not the full document.
Here is the start of the Guidelines summary. Seems worded to imply that mesh is better and that Shouldice results are unknown, when anyone who follows the field knows that the opposite is true. Disingenuous, but, look at the sponsors.
Non-mesh repair is an option if mesh is not available or in shared decision
situations with patients that do not want mesh. The Shouldice is best tissue
repair although in general practice the recurrence rate is higher than mesh
repair and risks of pain are comparable. More research is needed into the
value of non-mesh in cases where risk of recurrence is low (for example
young men with indirect hernia) and into the results of expert clinics. ….”
STRONG: The Shouldice technique is recommended in non-mesh inguinal
Mesh is recommended as first choice, either by an open procedure or a
laparo-endoscopic repair technique. One standard repair technique for all
groin hernias does not exist…”
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