hernia repair shouldice technique

Hernia Discussion Forums Hernia Discussion hernia repair shouldice technique

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    • #21762
      Colt
      Participant

      Is shouldice technique considered a very invasive surgery
      And if it fails can it be replaced by putting mesh in

    • #21763
      DrBrown
      Participant

      @colt
      Shouldice is an excellent method for hernia repair.
      A 6cm incision is made over the defect. It is less invasive than laparoscopic repairs.
      If it fails, then mesh can be used.
      Regards.
      Bill Brown MD

    • #21771
      Colt
      Participant

      Thank for speedy response
      Doc

    • #21789
      Colt
      Participant

      I have heard negative information about cutting the cremaster muscle
      In the shouldice technique, is it necessary to cut the cremaster muscle
      And is it possible to ask surgeon not to cut it while doing that technique

    • #21791
      Colt
      Participant

      I have elevated psa levels and enlarged prostate, how will those levels be effected by either a mesh or non mesh repair

    • #21794
      drtowfigh
      Keymaster

      The Shouldice clinic recommends cutting cremaster muscle and resuturing it up to the repair. They claim it reduces hernia recurrence rates. Most of us don’t completely cut the cremaster muscle.

      If you have an enlarged prostate, the straining to urinate or completely empty your bladder is a big factor to worsening your hernia and may contribute to higher hernia recurrence rate after hernia repair. Make sure all prostate symptoms are cured prior to any hernia repair.

    • #26730
      Mark
      Participant

      What if a prostate surgery is needed, how long does someone have to wait before pursuing a pure tissue repair for the hernia? Does having the prostate surgery before cause scar tissue or compromise the pure tissue hernia repair in anyway?

    • #26732
      Alexander
      Participant

      Would a mesh repair be better if one has an enlarged prostate then?

    • #26743
      drtowfigh
      Keymaster

      No hernia repair is recommended unless symptoms related to the prostate are addressed first.

      If prostate surgery is done, we usually do not recommend any open hernia repair for at least 3 weeks. And no laparoscopic repair for at least 3-6 months.

      • #26771
        Mark
        Participant

        So say someone has a surgery for the prostate. You indicate a minimum of 3 weeks is needed to then have the shouldice, or any other open pure tissue repair, completed. Does waiting longer to have the hernia surgery increase the chances of a more successful hernia repair? Does the prostate surgery cause scarring or compromise the ability to get the same end results with a pure tissue repair? Is there 1 particular type of prostate surgery that will be best to have to increase the pure tissue hernia repair surgery?

    • #26852
      drtowfigh
      Keymaster

      – the longer you wait after the prostate surgery, the better. Scar tissue will be less. This is most important for those who would benefit from laparoscopic hernia repair.
      – Tissue repair Area is not related to prostate surgery area. So not much of an issue.
      – almost all prostate surgery is performed robotically in the US and that is the best choice whether you need herni repair or not.

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