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September 1981

Suture Tension in Shouldice's Hernioplasty

Arch Surg. 1981;116(9):1238-1239. doi:10.1001/archsurg.1981.01380210100022

To the Editor.—In the April issue of the Archives (1981;116:440-445), Read and McLeod reported on suture tension in Bassini's and McVay's repairs. To demonstrate the apparent negligible suture tension in Shouldice's hernioplasty1 to assistants and observers, I have measured the suture tension in over 100 operations with a 200-g spring scale. In general, I can fairly say that the suture tension approximating the posterior inguinal wall in this operation was less than in any of Read and McLeod's determinations.

The tension on the first approximating bite is around 100 g, that of the second bite is 50 g, and that of the remaining bites is 25 g.

There was not a great difference between indirect and direct hernias except that the tension of the first and second bites in a large direct hernia tended to exceed that in indirect hernias.

Patients with bilateral hernias had their hernias repaired

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