The Iskandar Complex Hernia Center offers complex hernia surgery and advanced abdominal procedures with unparalleled compassion and renowned expertise, so you can enjoy a dramatically improved quality of life.

The Iskandar Complex Hernia Center
2360 N. I-35E Service Rd Suite 310-B
Waxahachie, TX 75165
Phone: (469) 800-9832
Google Site: https://sites.google.com/view/iskandarcenter/shouldice-hernia-surgery-dallas
Google Folder: https://mgyb.co/s/fjIyC

An evaluation of the inguinal anatomy is the first step in the Shouldice repair of inguinal hernias. The many ways in which herniated tissue might protrude through the hernia can confuse the initial appearance of the tissue during inguinal hernia surgery. Long-term inflammation frequently further distorts the look, altering what the surgeon can perceive. A well-trained surgeon will also find and repair any secondary hernias to prevent the need for future surgeries.

Because of this, a formal Shouldice repair of an inguinal hernia requires years of training and experience. During a Shouldice repair, once the surgeon has exposed the inguinal anatomy, they can then move on to the hernia repair.

1- The surgeon examines the area for any potential hernias (direct and indirect inguinal, femoral, and interstitial hernias).

2- The posterior wall of the inguinal canal (Transversalis fascia) is opened. This is required to identify and reveal the layers that are required for reconstruction.

3- Permanent suture is used to join four separate anatomical layers. In order to recognize the distinct anatomical layers that are sewn back together, the surgeon’s experience is essential. To prevent harm to adjacent important structures and nerves, expertise is needed (neurovascular structures to the leg and testicle in groin hernias).

Dr. Iskandar is a highly trained physician with vast experience and knowledge in complex hernia repair. He combines his expertise with compassionate care to give patients the best experience possible when having a Shouldice surgical procedure.

The only major potential drawback to using mesh today is that it can potentially lead to a higher chance of an infection developing in the patient in the days and weeks after surgery. However, overall, it is still highly preferred to the non-mesh surgery method for most types of hernia, large and small.

Dr. Iskandar, a renowned expert in complex hernia repair, has extraordinary experience in performing Shouldice repair. Medical literature has shown that experience matters greatly when it comes to treating hernias. The Shouldice repair is a comparatively challenging technique. The observed recurrence rates are, however, quite low when performed by hernia surgeons who are experienced with this specific technique.

Dr. Iskandar is one of the leading complex hernia experts in the United States, and his training has allowed him to develop his skills and focus on his passion for bariatric surgery, complex abdominal wall reconstruction, and hernia surgery. Dr. Iskandar is passionate about improving the quality of life of his patients by providing compassionate care in the treatment of hernias. To find out if the Shouldice repair or another hernia repair technique is right for you, schedule your physical examination with Dr. Iskandar by contacting The Iskandar Complex Hernia Center now.

Despite our remarkable success rates with laparoscopy and robotic inguinal hernia repair, it is nevertheless evident that in some patients, avoiding mesh reduces the likelihood of chronic pain or discomfort at the relatively minor cost of a slightly increased risk of recurrence. Therefore, Shouldice techniques (non-mesh inguinal hernia surgeries) might be the most “minimally invasive” alternative for these patients.

One month after surgery, there are no restrictions on lifting heavy weights. As soon as you are able, we advise getting back to normal activity levels again. If your job isn’t too physically demanding, you might be able to return to work in less than a week, or you might be assigned to light duty for a short while. As soon as you’re able, you can start playing sports and exercising again.

You are the best judge of when and how much you should do as you listen to your body. It is really challenging to undo the repair, so that is why the restrictions are less with this type of procedure than with others. A Shouldice repair is perfect for labor-intensive jobs and athletes.

The Shouldice repair is intended to restore your muscle function so that you can perform your duties. Each patient’s return time to their previous level of normal can vary from four to eight weeks, but you are undoubtedly active in the interim until you feel you are back where you need to be. Your body is still recovering during this time, even though you have resumed your normal activities.

That means that as you are returning to work, exercise, muscular conditioning for competitive sports, and moving toward your previous job responsibilities, you should keep in mind that you had surgery and your body still may need time to heal.

Ideally, you should try to achieve your optimal body weight prior to surgery. Every person’s body is unique, so Dr. Iskandar will discuss with you what would be the best plan for your particular situation.

Are mesh repairs better than non-mesh repairs?

The Shouldice inguinal hernia repair uses natural tissue repair without the need for mesh. Despite the Shouldice repair’s 75 plus years of success, there is compelling evidence that mesh-based surgical techniques have a lower risk of hernia recurrence than natural tissue repairs.

How successful is the Shouldice repair?

The Shouldice hernia repair technique is extremely successful. The recurrence rate is less than 1%, according to the Shouldice Hernia Centre in Ontario, Canada.

That means that as you are returning to work, exercise, muscular conditioning for competitive sports, and moving toward your previous job responsibilities, you should keep in mind that you had surgery and your body still may need time to heal.

Dr. Iskandar, a renowned expert in complex hernia repair, has extraordinary experience in performing Shouldice repair. Medical literature has shown that experience matters greatly when it comes to treating hernias. The Shouldice repair is a comparatively challenging technique. The observed recurrence rates are, however, quite low when performed by hernia surgeons who are experienced with this specific technique.

Dr. Iskandar is one of the leading complex hernia experts in the United States, and his training has allowed him to develop his skills and focus on his passion for bariatric surgery, complex abdominal wall reconstruction, and hernia surgery. Dr. Iskandar is passionate about improving the quality of life of his patients by providing compassionate care in the treatment of hernias. To find out if the Shouldice repair or another hernia repair technique is right for you, schedule your physical examination with Dr. Iskandar by contacting The Iskandar Complex Hernia Center now.

Some patients may refuse hernia repair because of the potential side-effects and complications of surgery. However, the benefits of a successful operation far outweigh some of the minor symptoms you may experience afterwards. Side-effects can include chronic fatigue, recurrence and perhaps infection.

An evaluation of the inguinal anatomy is the first step in the Shouldice repair of inguinal hernias. The many ways in which herniated tissue might protrude through the hernia can confuse the initial appearance of the tissue during inguinal hernia surgery. Long-term inflammation frequently further distorts the look, altering what the surgeon can perceive. A well-trained surgeon will also find and repair any secondary hernias to prevent the need for future surgeries.

Because of this, a formal Shouldice repair of an inguinal hernia requires years of training and experience. During a Shouldice repair, once the surgeon has exposed the inguinal anatomy, they can then move on to the hernia repair.

1- The surgeon examines the area for any potential hernias (direct and indirect inguinal, femoral, and interstitial hernias).

2- The posterior wall of the inguinal canal (Transversalis fascia) is opened. This is required to identify and reveal the layers that are required for reconstruction.

3- Permanent suture is used to join four separate anatomical layers. In order to recognize the distinct anatomical layers that are sewn back together, the surgeon’s experience is essential. To prevent harm to adjacent important structures and nerves, expertise is needed (neurovascular structures to the leg and testicle in groin hernias).

Dr. Iskandar is a highly trained physician with vast experience and knowledge in complex hernia repair. He combines his expertise with compassionate care to give patients the best experience possible when having a Shouldice surgical procedure.