title: [Recurrent inguinal hernia. Propositions of classification and surgical strategy].
abstract: 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.
authors.affiliation: Institut de Chirurgie Générale Thoracique Pulmonaire, Université de Milan, Italie.
authors.forename: G
authors.initials: G
authors.lastname: Campanelli
authors.forename: R
authors.initials: R
authors.lastname: Cavagnoli
authors.forename: L
authors.initials: L
authors.lastname: Bottero
authors.forename: M
authors.initials: M
authors.lastname: De Simone
authors.forename: P
authors.initials: P
authors.lastname: Pietri
mesh_terms: 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
vernacular_title: Hernies récidivées de l'aine. Propositions de classification et de tactique chirurgicale.