No-Mesh Inguinal Hernia Repair (Shouldice Technique)
Dr. Todd Harris, Medical Director of California Hernia Specialists, walks through a complete, step-by-step no-mesh inguinal hernia repair using the Shouldice technique. This specific procedure was performed on a Division 1 college athlete suffering from chronic groin pain caused by a small indirect inguinal hernia.
This purely tissue-based repair uses a permanent Proline suture across four distinct tension-bearing layers to rebuild the floor of the inguinal canal without the use of surgical mesh. Dr. Harris highlights critical steps, including protecting the ilioinguinal nerve, completely isolating the spermatic cord, dividing the cremasterics, and successfully resuspending the testicle post-repair.
