[Recurrent inguinal hernia. Propositions of classification and surgical strategy].
We reviewed 1005 cases of groin hernia in 932 patients including 113 recurrent hernias. Eighty-seven percent of the patients were seen again one year after surgery for an evaluation of technique, results and complications. The data obtained was used to propose a simple anatomoclinical classification into three types which could be used to orient surgical strategy. Type R1 includes first relapse oblique external reducable hernia of less than 2 cm in non-obese patients: the Lichtenstine-gilbert technique is indicated. Type R2 includes inferior, direct reducable first relapse hernia of less than 2 cm in non-obese patients: the Wantz-Trabucco technique is indicated. Type R3 includes all the other forms: the Stoppa technique, or alternatively laparoscopy, is proposed.
Campanelli
G
G
Institut de Chirurgie Générale Thoracique Pulmonaire, Université de Milan, Italie.
Cavagnoli
R
R
Bottero
L
L
De Simone
M
M
Pietri
P
P
D000367:Age Factors; D017558:Elective Surgical Procedures; D005500:Follow-Up Studies; D006552:Hernia, Inguinal / Q000145:classification* / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications; D012008:Recurrence; D013526:Surgical Mesh
Hernies récidivées de l'aine. Propositions de classification et de tactique chirurgicale.