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 imbricates 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 Basinni.
If Dr. Petersen himself needed an inguinal hernia repair he would have a friend of his at the Shouldice Hospital in Canada do it.
He does not endorse the Shouldice technique. He does not endorse any named technique. Many surgeons claiming to do the Shouldice repair get lousy results. The Souldice Hospital has great surgeons and he endorses them all. His best wishes to Dr Alexander who has recently retired.
"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