Preliminary results of a prospective randomized study of Cooper's ligament versus shouldice herniorrhaphy technique

Panos, R.G., Beck, D.E., Maresh, J.E. and Harford, F.J. (1992) Preliminary results of a prospective randomized study of Cooper's ligament versus shouldice herniorrhaphy technique. Surgery Gynecology and Obstetrics, 175 4: 315-319.

Author Panos, R.G.
Beck, D.E.
Maresh, J.E.
Harford, F.J.
Title Preliminary results of a prospective randomized study of Cooper's ligament versus shouldice herniorrhaphy technique
Journal name Surgery Gynecology and Obstetrics   Check publisher's open access policy
ISSN 0039-6087
Publication date 1992-10
Sub-type Article (original research)
Volume 175
Issue 4
Start page 315
End page 319
Total pages 5
Place of publication Philadelphia, PA, United States
Publisher Elsevier
Language eng
Abstract Surgeons have developed many methods for the repair of direct inguinal hernias. The Cooper's ligament (McVay) repair and the Shouldice repair are widely used techniques. To determine the recurrence rates with differing techniques performed in a surgery residency program, we conducted a prospective randomized study for elective adult direct inguinal herniorrhaphies. Three hundred and eight elective direct inguinal herniorrhaphies in 269 adult patients were performed by residents in general surgery supervised by staff surgeons. Patients had yearly follow-up physical examinations (compliance rate of 87 percent) during an average follow-up period of 36.4 months. The recurrence rate was 8.8 percent for the McVay repair and 6.6 percent for the Shouldice repair (not significant). Bilateral inguinal hernias (repaired six weeks apart) had a recurrence rate of 12.8 percent, while the recurrence rate for unilateral repairs was 5.6 percent (p=<0.05). We found no significant difference in recurrence rates between the McVay and Shouldice herniorrhaphy techniques. However, there was an increase in hernia recurrence with either technique when bilateral direct inguinal herniorrhaphies were performed.
Keyword Recurrent inguinal hernia
Femoral hernioplasty
Repair
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ
Additional Notes Continued by Journal of the American College of Surgeons

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 62 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 0 times in Scopus Article
Google Scholar Search Google Scholar
Created: Mon, 14 Mar 2011, 08:48:30 EST