Inguinal hernia recurrence: Classification and approach

被引：26

作者：

Campanelli G. ^{[1
]}

Pettinari D. ^{[1
]}

Nicolosi F.M. ^{[1
]}

Cavalli M. ^{[1
]}

Avesani E.C. ^{[1
]}

机构：

[1] Department of Surgical Sciences, Policlinico Hospital I.R.C.C.S., University of Milano, 20122 Milano

来源：

Hernia | 2006年 / 10卷 / 2期

关键词：

Classification; Groin hernia; Recurrence; Treatment;

D O I：

10.1007/s10029-005-0053-3

中图分类号：

学科分类号：

摘要：

We reviewed case reports, updated to January 2005, of 2,468 operations for groin hernia in 2,350 patients, including 277 recurrent hernias. The data obtained, following a simple anatomo-clinical classification into three types that could be used to orient surgical strategy, were: type R1 - first recurrence of "high" oblique external reducible hernia with small (<2 cm) defect in non-obese patients after pure tissue or mesh repair; type R2 - first recurrence of "low" direct reducible hernia with small (<2 cm) defect in non-obese patients after pure tissue or mesh repair; and type R3 - all other recurrences, including femoral recurrences, recurrent groin hernia with large defect (inguinal eventration), multi-recurrent hernias, non-reducible contralateral primary or recurrent hernia, and situations compromised by aggravating factors (e.g. obesity) or otherwise not easily included in R1 or R2 after pure tissue or mesh repair. © Springer-Verlag 2006.

引用

页码：159 / 161

页数：2

共 14 条

[1]

Lichtenstein I.L., Shulman A.G., Amid P.K., The cause, prevention, and treatment of recurrent groin hernia, Surg Clin North Am, 73, 3, pp. 529-544, (1993)

[2]

Pietri P., Gabrielli F., Recurrent inguinal hernia, Int Surg, 71, pp. 164-169, (1986)

[3]

Shulman A.G., Amid P.K., Lichtenstein I.L., The "plug" repair of 1402 recurrent inguinal hernias: 20-year experience, Arch Surg, 125, 2, pp. 265-267, (1990)

[4]

Shulman A.G., Amid P.K., Lichtenstein I.L., Plug repair of recurrent inguinal hernias, Contemp Surg, 40, pp. 30-33, (1992)

[5]

Stoppa R., Warlaumont C., Pathogenie des hernies de l'aine, Min Chir, 44, pp. 737-744, (1998)

[6]

Lichtenstein I.L., Shulman A.G., Amid P.K., Et al., The tension-free hernioplasty, Am J Surg, 157, 2, pp. 188-193, (1989)

[7]

Trabucco E., The office hernioplasty and the Trabucco repair, Ann Ital Chir, 64, 2, pp. 127-150, (1993)

[8]

Lichtenstein I.L., Shulman G., Ambulatory outpatient hernia surgery including a new concept introducing tension-free repair, Int Surg, 71, pp. 1-4, (1986)

[9]

Gilbert A.I., Sutureless repair of inguinal hernia, Am J Surg, 163, 3, pp. 331-335, (1992)

[10]

Wantz G.E., Unilateral giant prosthetic reinforcement of the visceral sac, II Convegno Internazionale: Attualitàe Prospettive Nella Chirurgia Delle Ernie E Dei Laparoceli, Padova, pp. 23-25, (1991)

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