The Shouldice hernia repair is a non-mesh transversalis fascia repair which has excellent results in the hands of the surgeons at the Shouldice Hospital in Canada. It impricates the transversalis fascia with four layers of suture and incorporates the ileo-pubic tract into the repair. Nearly all of the successful none mesh repairs of the inguinal hernia do a sutured repair of the transversalis fascia which was pioneered by Bassini.
If Dr. Petersen himself needed an inguinal hernia repair he would have a friend of his at the Shouldice Hospital in Canada do it.
We do not endorse a particular named repair technique. We believe that a hernia surgeon should be familiar with all of the named repairs as he would all of his many surgical tools. We prefer non-mesh hernia repairs for the sake of avoiding mesh related chronic pain.
"Milan—Chronic groin pain after hernia surgery is now considered the most important issue facing inguinal hernia surgeons and their patients. Yet, there is still much uncertainty surrounding what causes the pain and how to prevent it." - Victoria Stern, General Surgery News