[Recurrence after hernioplasty according to Lichtenstein: analysis of the cause].
The performance of surgical interventions of tension-free hernia repair has certainly reduced the recurrence rate in comparison with the previous techniques; notwithstanding this it is not uncommon to observe some recurrences also after a Lichtenstein hernia repair. The aim of this study is that to analyse the causes. In the last 2 years, 42 patients (mean age of 68 years) with recurrent hernia have been operated by Lichtenstein technique; 11 of the 42 patients had been treated before with an useful mesh hernia repair. In 8 of these patients the recurrence was produced by an insufficient medial extension of the mesh; in the other 3 patients the cause was the presence of an unrecognized indirect hernia in patients operated for a direct inguinal hernia. All the patients treated have been submitted to a 18 months time of follow-up.
Benfatto
G
G
Dipartimento di Chirurgia Sezione di Chirurgia Generale ed Oncologica, Università degli Studi di Catania.
Catania
G
G
D'Antoni
S
S
Benfatto
S
S
Licari
V
V
Basile
G
G
Tenaglia
L
L
D000368:Aged; D005500:Follow-Up Studies; D006552:Hernia, Inguinal / Q000209:etiology / Q000601:surgery*; D006801:Humans; D012008:Recurrence; D013514:Surgical Procedures, Operative / Q000379:methods