Prospective Randomized Comparison of the Shouldice and Lichtenstein Hernia Repair Procedures

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  • JMJames E. McGillicuddy
    James E. McGillicuddy
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Abstract
THIS IS THE preliminary report of a randomized, prospective comparison of the "Shouldice" 4-layer modified Bassini inguinal hernia repair and the "Lichtenstein" polypropylene tension-free mesh procedure. The null hypothesis for this study was that there is no difference between the 2 repairs in complication rates, recurrence rates, and applicability to the repair of primary and recurrent inguinal hernias in men. Other objectives were to determine whether either technique was easier to apply to the ambulatory outpatient, whether one method was easier to learn and probably teach, and whether the mesh patch is unnecessarily risky, requiring a careful selection criterion.1

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