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- Title
Inguinal hernia recurrence: Classification and approach.
- Authors
Campanelli, Giampiero; Pettinari, Diego; Cavalli, Marta; Avesani, Ettore Contessini
- Abstract
The authors reviewed the records of 2,468 operations of groin hernia in 2,350 patients, including 277 recurrent hernias updated to January 2005. The data obtained - evaluating technique, results and complications - were used to propose a simple anatomo-clinical classification into three types which could be used to plan the surgical strategy: • Type R1: first recurrence ‘high,’ oblique external, reducible hernia with small (<2 cm) defect in nonobese patients, after pure tissue or mesh repair • Type R2: first recurrence ‘low,’ direct, reducible hernia with small (<2 cm) defect in non-obese patients, after pure tissue or mesh repair • Type R3: all the other recurrences - including femoral recurrences; recurrent groin hernia with big defect (inguinal eventration); multirecurrent hernias; nonreducible, linked with a controlateral primitive or recurrent hernia; and situations compromised from aggravating factors (for example obesity) or anyway not easily included in R1 or R2, after pure tissue or mesh repair.
- Subjects
DISEASE relapse; SURGICAL complications; INGUINAL hernia; GROIN; FEMORAL hernia; ABDOMINAL diseases
- Publication
Journal of Minimal Access Surgery, 2006, Vol 2, Issue 3, p147
- ISSN
0972-9941
- Publication type
Article
- DOI
10.4103/0972-9941.27728