Shouldice Prophylactic Neurectomy

[drtowfigh]

The standard for most hernia repairs is not to touch or cut any nerves. With the modified Shouldice repair by the Shouldice Clinic, they have considered cremaster muscle resection (to reduce the hernia recurrence from the originally described Shouldice technique) and thus genital branch neurectomy as their common practice. With other open operations, many surgeons commonly cut the ilioinguinal nerve.

[John]

Thank you, Dr. Towfigh. So the purpose would be more towards preventing recurrence vs avoiding neuralgia from disturbing or damaging this nerve?