[Recurrent inguinal hernia: study of 87 cases].
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.
Speranzini
M B
MB
Mittelstaedt
W E
WE
Fujimura
I
I
Pires
P W
PW
Rebelato
F J
FJ
Rodrigues Júnior
A J
AJ
Deutsch
C R
CR
Souza
J F
JF
D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008722:Methods; D012008:Recurrence; D012086:Reoperation; D012189:Retrospective Studies
Hérnias inguinais recidivadas: estudo de 87 casos.