Research at Shouldice Hospital

Shouldice Hospital’s Research Department strives to encourage team-based project identification and development, offers simple project life cycle procedures, and provides opportunities for investigation, innovation, education, and quality improvement. Our goal is to increase knowledge on the uniqueness of hernia patients and repair, improve patient care and the understanding of patient perspectives, as well as continue to grow as a global leader in abdominal wall hernia education and research.

Publications

• Paasch C and Mainprize M. Who benefits from a Shouldice repair? Hernia. (2024) https://doi.org/10.1007/s10029-024-03159-w
• Paasch C, Mainprize M, Hunger R, Netto FACS. Polypropylene vs. stainless-steel wire suture: short-term recurrence rate after Shouldice primary inguinal hernia repair, a non-inferior analysis among 1120 patients. A case-control study. Hernia. (2024) https://doi.org/10.1007/s10029-024-03110-z
• Paasch C, Mainprize M, Hunger R, et al. Polypropylene vs. stainless-steel wire suture: short-term recurrence rate after Shouldice primary inguinal hernia repair, a non-inferior analysis among 1120 patients. A case–control study. Hernia. (2024) https://doi.org/10.1007/s10029-024-03110-z
• Mainprize M, Spencer Netto FAC, and Paasch C. Mis-identified complications after groin hernia repair: concerns for results, research and registries? Hernia. (2024) https://doi.org/10.1007/s10029-024-03035-7
• Mainprize M, Svendrovski A, Spencer Netto FAC, and Katz J. Matching males and females undergoing non mesh primary unilateral inguinal hernia repair: evaluating sex differences in preoperative and acute postoperative pain. Updates in Surgery. (2024) https://doi.org/10.1007/s13304-024-01792-9
• Mainprize M, Paasch C, and Spencer Netto FAC. How to Article: Prehabilitation and postoperative treatment at Shouldice Hospital. Annals of Medicine and Surgery. (2024) https://doi: 10.1097/MS9.0000000000001815
• Spencer Netto FAC, Paasch C, Yilbas A, Degani C, Svendrovski A, Szasz P, and Mainprize M. Temporal patterns for inguinal hernia recurrence operations after Shouldice Repair. Hernia. (2024) https://doi: 10.1007/s10029-023-02955-0
• Mainprize M, Yilbas A, Spencer Netto FAC, Svendrovski A, and Katz J. Incidence of opioid use and early postoperative pain intensity after primary unilateral inguinal hernia repair at a single-center specialty hospital. Langenbecks Arch Surg 2023. 408(1):366. https://doi: 10.1007/s00423-023-03111-z
• Szasz P, Mainprize M, and Spencer Netto FAC. Muscular groin hernias: an anatomical variation as a cause of recurrence. Hernia. (2023) https://doi: 10.1007/s10029-023-02840-w
• Spencer Netto FAC, Mainprize M, Yilbas A, Degani C, Svendrovski A, and Szasz P. Surgical aspects and early morbidity of patients undergoing open recurrent inguinal hernia repair. Hernia. 2023. https://doi.org/10.1007/s10029-023-02801-3
• Szasz P, Mainprize M, and Spencer Netto FAC. Spigelian hernias: A high volume institutional review. Surgery Open Science. 2023.13:75-81. https://doi.org/10.1016/j.sopen.2023.04.009
• Mainprize M, Spencer Netto FAC, Degani C, and Szasz P. The Shouldice Method: an expert’s consensus. Hernia. 2023. 27;147-156. https://doi.org/10.1007/s10029-022-02658-y
• Spencer Netto FAC, Mainprize M, Galant G, and Szasz P. The incidence of occult paraumbilical hernias in patients undergoing primary umbilical hernia repair. Hernia. 2021. 25;619–623. https://doi.org/10.1007/s10029-021-02392-x
• Szasz P, Spencer Netto F, and Shouldice Hospital. Shouldice Hospital comments on “Shouldice standard 2020: review of current literature and results of an international consensus meeting”. Hernia. 2021. 25;1375–1376. https://doi.org/10.1007/s10029-021-02455-z

 Conference Presentations

• 2024 Canadian Surgery Forum: Preoperative Opioid Sparing Multimodal Analgesia in Primary Open Unilateral Inguinal Hernia Repair: Effect on Postoperative Pain and Narcotic Use
• 2024 American Hernia Society Annual Meeting: Evaluating ilioinguinal-iliohypogastric nerve block for a matched sample of hernia patients
• 2024 International Association for the Study of Pain Conference: Differences between the sexes 3-month and 1-ear postoperative pain after inguinal hernia repair
• 2024 European Hernia Society Annual Meeting: Does the use of polypropylene instead of stainless-steel wire affect the short-term recurrence rate after Shouldice Primary Inguinal Hernia Repair?
• 2024 European Hernia Society Annual Meeting: Patient Reported Outcomes a pilot analysis of 500 patients
• 2024 Canadian Pain Society Conference: Validation of the Borsook Stress Assessment Tool (BSAT) in Preoperative Hernia Patients
• 2023 American Hernia Society Annual Meeting: Sex differences in preoperative and acute postoperative pain among primary unilateral inguinal hernia patients
• 2023 Canadian Surgery Forum: Shouldice Method Brief Educational Video
• 2023 European Hernia Society Annual Meeting: Temporal pattern for inguinal hernia recurrence reoperation after primary Shouldice repair
• 2022 European Hernia Society Annual Meeting: Surgical aspects and early morbidity of patients undergoing open recurrent inguinal hernia repair
• 2022 American Hernia Society Annual Meeting: The Shouldice Method: an expert’s consensus
• 2022 Canadian Surgery Forum: Incidence of in-hospital opioid use and pain after inguinal hernia repair

Ongoing Project Topics

• Quality Improvement Initiatives
• Patient Reported Outcome Measures
• Quality of Life
• Pain
• Sex Differences
• Recurrent Hernias
• Ultrasound use
• Waste in surgery

If you are interested in any of our publications, ongoing projects, or research opportunities please contact our research department manager at [email protected] or 905-889-1125 ext. 297.