title: [Recurrent inguinal hernia: study of 87 cases].
abstract: A retrospective analysis is made of the data of 87 patients with recurrent inguinal hernias operated at the Hospital das Clínicas of the University of São Paulo in a period of six years. As it happened with other authors, frequency of recurrence was: direct hernia (43.5%), indirect hernia (50%), the less often seen mixed form (3.9%), and crural hernia (2.6%). They discuss local and systemic etiopathogenic factors, strain in the early postoperative period being indicated as a major factor, responsible for 43.1% of the cases. More than half of recurrences (48/85) occurred in the first year, some occurring after a longer period of time (30.6% after three years). The mostly used repair techniques were modified Bassani's technique (suture of the transverse arch to the inguinal ligament) and the Lotheissen-McVay technique, in 46.1% and 42.5% of the cases, respectively. In 9 of the 85 cases, tightening the deep inguinal orifice was enough. Analysis of the rate of surgical failure was difficult, as patients did not routinely return for follow-up visits.
authors.forename: M B
authors.initials: MB
authors.lastname: Speranzini
authors.forename: W E
authors.initials: WE
authors.lastname: Mittelstaedt
authors.forename: I
authors.initials: I
authors.lastname: Fujimura
authors.forename: P W
authors.initials: PW
authors.lastname: Pires
authors.forename: F J
authors.initials: FJ
authors.lastname: Rebelato
authors.forename: A J
authors.initials: AJ
authors.lastname: Rodrigues Júnior
authors.forename: C R
authors.initials: CR
authors.lastname: Deutsch
authors.forename: J F
authors.initials: JF
authors.lastname: Souza
mesh_terms: D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008722:Methods; D012008:Recurrence; D012086:Reoperation; D012189:Retrospective Studies
vernacular_title: Hérnias inguinais recidivadas: estudo de 87 casos.