Among the numerous operations proposed for the treatment of inguinal hernia, the authors utilised Shouldice's method of hernioplasty in over 400 cases of non-recurrent hernia. After drawing attention to a few anatomical type specifications regarding the inguinal canal structures, the "Canadian" surgical technique is described in detail. The authors analyse the various methods of hernioplasty now used and conclude that Shouldice's method should be considered elective in the treatment of primary direct inguinal hernias and voluminous indirect hernias in adults.
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The corresponding record at NLM can be accessed at https://www.ncbi.nlm.nih.gov/pubmed/8587705