ArticleHernia : the journal of hernias and abdominal wall surgery2023
The Shouldice Method: an expert's consensus.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Absorbable suture material in non-mesh inguinal hernia repair: a narrative review of Shouldice, Bassini, and Desarda techniques.Hernia : the journal of hernias and abdominal wall surgery · 2026Review
- The learning curve for the Shouldice Repair: a pilot analysis of post-training specialized surgeons at the Shouldice Hospital.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Comparison and Standardisation of Various Open Preperitoneal Techniques in Inguinal Hernia Surgery-Results of a Review and Consensus.Journal of abdominal wall surgery : JAWS · 2025Review
- 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
- Quality of life following Shouldice Repair: a prospective cohort study among inguinal hernia patients.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Ultrasound-guided ilioinguinal-iliohypogastric nerve block with local anesthesia and fentanyl analgesia versus local anesthesia and fentanyl analgesia prior to Shouldice inguinal hernia repair in adults: a retrospective matched-pair analysis among 100 individuals.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Matching males and females undergoing non mesh primary unilateral inguinal hernia repair: evaluating sex differences in preoperative and acute postoperative pain.Updates in surgery · 2024Article
- Temporal patterns for inguinal hernia recurrence operations after Shouldice Repair.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- How to Article: Prehabilitation and postoperative treatment at Shouldice Hospital.Annals of medicine and surgery (2012) · 2024Article
- Exploring Groin Hernias: A Visual 3D Guide to Diagnosis and Treatment.Journal of abdominal wall surgery : JAWS · 2024Article
- Matching males and females undergoing Shouldice repair using a prospective, longitudinal design.Canadian journal of surgery. Journal canadien de chirurgieObservational
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHernia repairs are a commonly performed surgical procedure and the Shouldice Repair of inguinal hernias has been well described before in terms of its outcomes. However, the purpose of this paper was to understand what experts from Shouldice Hospital consider to be the essential steps to the Shouldice Method.
methodsUtilizing a Delphi Methodology, surgeons at Shouldice Hospital who are considered content experts, provided their answers on what is essential to the Shouldice Method. The median, interquartile range, and percent agreement from the responses as well as the Delphi's overall Cronbach's Alpha were determined. All Delphi items were ranked on a five-point Likert scale and consensus was reached when Cronbach's Alpha was ≥ 0.8. The items from the survey that ranked as 5-completely agree or 4-partially agree by ≥ 80% of participants on the five-point Likert scale were included in the final framework.
resultsThe final consensus for the Shouldice Method included 39 items with 7 overarching steps: preoperative preparation of the patient, anesthetic component, incision and nerve identification, treatment of the cremasteric muscles, hernia identification and treatment, reconstruction of the posterior wall, and post-operative management of patients.
conclusionThe results of this consensus provide a step-by-step approach to the Shouldice Method, as well as information that is timely and can be utilized by surgeons incorporating non-mesh hernia repairs into their practice.
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