Perioperative management - Shouldice Repair of Inguinal Hernia - general and visceral surgery

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  • Indications

    Elective:

    • Primary inguinal hernia
    • Age < 30 years or individual decision in patients with small lateral hernia and/or firm transversalis fascia

  • Contraindications

    • none

  • Preoperative diagnostic work-up

    • Manual examination with patient standing.
    • In men > 50 years, digital rectal examination ruling out rectal cancer.

  • Special preparation

    • Marking the side of the hernia examined with the patient standing

  • Informed consent

    • Recurrence
    • Seroma
    • Hematoma
    • Secondary healing
    • Infection
    • Vascular and nerve injury
    • Bleeding
    • Chronic groin pain such as ilioinguinal syndrome
    • Injury to the spermatic duct
    • Testicular atrophy
    • Redo procedure
    • Bowel resection
    • Death

  • Anesthesia

    Paid content (text)

  • Positioning

    Positioning
     
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  • Operating room setup

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    Paid content (text)

  • Special instruments and fixation systems

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  • Postoperative Management

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  1. Indications
  2. Contraindications
  3. Preoperative diagnostic work-up
  4. Special preparation
  5. Informed consent
  6. Anesthesia
  7. Positioning
  8. Operating room setup
  9. Special instruments and fixation systems
  10. Postoperative Management

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