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 SYMPOSIUM
Year : 2006  |  Volume : 2  |  Issue : 3  |  Page : 147-150

Inguinal hernia recurrence: Classification and approach


Department of Surgical Sciences, University of Milano, Policlinico Hospital I.R.C.C.S, Pad. Beretta Est, Milano, Italy

Correspondence Address:
Giampiero Campanelli
University of Milano, Department of Surgical Sciences - Pad. Beretta Est, Policlinico Hospital I.R.C.C.S, Via Francesco Sforza, 35, 20122 Milano
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.27728

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The authors reviewed the records of 2,468 operations of groin hernia in 2,350 patients, including 277 recurrent hernias updated to January 2005. The data obtained - evaluating technique, results and complications - were used to propose a simple anatomo-clinical classification into three types which could be used to plan the surgical strategy:
  • Type R1: first recurrence 'high,' oblique external, reducible hernia with small (<2 cm) defect in non-obese patients, after pure tissue or mesh repair
  • Type R2: first recurrence 'low,' direct, reducible hernia with small (<2 cm) defect in non-obese patients, after pure tissue or mesh repair
  • Type R3: all the other recurrences - including femoral recurrences; recurrent groin hernia with big defect (inguinal eventration); multirecurrent hernias; nonreducible, linked with a controlateral primitive or recurrent hernia; and situations compromised from aggravating factors (for example obesity) or anyway not easily included in R1 or R2, after pure tissue or mesh repair.







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