ArticleWorld journal of surgery2018
Has Shouldice Repair in a Selected Group of Patients with Inguinal Hernia Comparable Results to Lichtenstein, TEP and TAPP Techniques?
Article in World journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.
- Chronic pain after Shouldice versus Lichtenstein inguinal hernia repair: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- State of the art: open mesh-based inguinal hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2019Pooled it
- Using antibiotic prophylaxis to reduce surgical site infection after shouldice repair.Hernia : the journal of hernias and abdominal wall surgery · 2026Observational
- Article
- Article
- Chronic groin pain after Lichtenstein inguinal hernia repair: partially absorbable light-weight mesh versus conventional light-weight versus heavy-weight mesh.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Groin hernia.Nature reviews. Disease primers · 2025Review
- Recurrence after implementation of an updated intraoperative protocol for totally extraperitoneal (TEP) inguinal hernia repair in a high-volume clinic - a retrospective cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Who benefits from a shouldice repair?Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Polypropylene vs. stainless-steel wire suture: short-term recurrence rate after shouldice primary inguinal hernia repair, a non-inferior analysis among 1120 patients. A case-control study.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Lichtenstein technique for inguinal hernia repair: ten recommendations to optimize surgical outcomes.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Temporal patterns for inguinal hernia recurrence operations after Shouldice Repair.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Article
- The Lichtenstein technique is being used adequately in inguinal hernia repair: national analysis and review of the surgical technique.Revista do Colegio Brasileiro de Cirurgioes · 2023Review
- Extraperitoneal Laparoscopic Approach in Inguinal Hernia-The Ideal Solution?Journal of clinical medicine · 2022Article
- Article
- Shouldice standard 2020: review of the current literature and results of an international consensus meeting.Hernia : the journal of hernias and abdominal wall surgery · 2021Review
- Results of Shouldice hernia repair after 18 years of follow-up in all the patients.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Is mesh always necessary in every small umbilical hernia repair? Comparison of standardized primary sutured versus patch repair: retrospective cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Improving surgical education in East Africa with a standardized hernia training program.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
Corrections and comments
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Authors and funding
7 authors at 6 institutions in 2 countries.
Funding
Abstract
backgroundIn the new international guidelines only the mesh-based Lichtenstein, TEP and TAPP techniques are recommended. This present analysis of data from the Herniamed Registry compares the outcome for Shouldice versus Lichtenstein, TEP and TAPP.
methodsPropensity score matching analyses were performed to obtain homogeneous comparison groups for Shouldice versus Lichtenstein (n = 2115/2608; 81.1%), Shouldice versus TEP (n = 2225/2608; 85.3%) and Shouldice versus TAPP (2400/2608; 92.0%).
resultsThe most important characteristics of the Shouldice patient collective were younger patients with a mean age of 40 years, a large proportion of women of 30%, a mean BMI value of 24 and a proportion of defect sizes up to 3 cm of over 85%. For this selected patient collective, propensity score matched-pair analysis did not identify any difference in the perioperative and one-year follow-up outcome compared with TAPP, fewer intraoperative (0.5 vs. 1.3%; p = 0.009) but somewhat more postoperative complications (2.3 vs. 1.5%; p = 0.050) compared with TEP and advantages with regard to pain at rest (4.6 vs. 6.1%; p = 0.039) and on exertion (10.0 vs. 13.4%; p < 0.001) compared with the Lichtenstein technique.
conclusionFor a selected group of patients the Shouldice technique can be used for primary unilateral inguinal hernia repair while achieving an outcome comparable to that of Lichtenstein, TEP and TAPP operations.
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Registered trials
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