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Title
1. Introduction
2. Surgical Approach
3. Incision
4. Exposure of External Oblique
5. Mobilization of External Oblique
6. Inguinal Dissection and Identification and Preservation of Nerves
7. Skeletonize Cord Structure and Look for the Indirect Hernia Sac / Peritoneum
8. Skeletonize Hernia Sac and Examine Internal Inguinal Ring and Peritoneum
9. Division of Cremaster Muscle Fibers with Genital Branch of Genitofemoral Nerve
10. Divide Floor of Inguinal Canal
11. Four-Layer Shouldice Repair
12. Closure
13. Post-op Remarks

Shouldice Repair for Left Direct Inguinal Hernia

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Divyansh Agarwal, MD¹; Lauren Ott, PA-C^2,3,4; Michael Reinhorn, MD, FACS^2,3,4
¹Massachusetts General Hospital
²Mass General Brigham - Newton-Wellesley Hospital
³Boston Hernia and Pilonidal Center
⁴Tufts University School of Medicine

General Surgery

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Newton-Wellesley Hospital

Article Information

DOI
Publication Date	2022/06/10
Article ID	340
Production ID	0340
Volume	2022
Issue	340
https://doi.org/10.24296/jomi/340