{Reference Type}: Journal Article
{Title}: Primary Tissue Repair for Inguinal Hernias: The Shouldice Repair Technique and Patient Selection.
{Author}: Agarwal D;Sinyard RD;Ott L;Reinhorn M;
{Journal}: Surg Clin North Am
{Volume}: 103
{Issue}: 5
{Year}: 2023 Oct
{Factor}: 3.537
{DOI}: 10.1016/j.suc.2023.04.001
{Abstract}: It is estimated that approximately one in four men and one in 20 women will develop an inguinal hernia over the course of their lifetime. A non-mesh inguinal hernia repair via the Shouldice technique is a unique approach that necessitates dissection of the entire groin region as well as careful assessment for any secondary hernias. Subsequently, a pure tissue laminated closure allows the repair to be performed without tension. Herein, the authors describe a brief overview of inguinal hernias and discuss the relevant patient evaluation, operative steps of the Shouldice procedure, and postoperative considerations.