[Recurrent inguinal hernia. Propositions of classification and surgical strategy]

J Chir (Paris). 1996 Sep;133(6):270-3.
[Article in French]

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.

Publication types

  • English Abstract

MeSH terms

  • Age Factors
  • Elective Surgical Procedures
  • Follow-Up Studies
  • Hernia, Inguinal / classification*
  • Hernia, Inguinal / surgery*
  • Humans
  • Postoperative Complications
  • Recurrence
  • Surgical Mesh