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
Positioning
Operating room setup
Special instruments and fixation systems
Postoperative Management
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