Campanelli Giampiero, Pettinari Diego, Cavalli Marta, Avesani Ettore Contessini
Department of Surgical Sciences, University of Milano, Policlinico Hospital I.R.C.C.S, Pad. Beretta Est, Milano, Italy.
J Minim Access Surg. 2006 Sep;2(3):147-50. doi: 10.4103/0972-9941.27728.
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 repairType R2: first recurrence 'low,' direct, reducible hernia with small (<2 cm) defect in non-obese patients, after pure tissue or mesh repairType 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.
作者回顾了2350例患者的2468例腹股沟疝手术记录，其中包括截至2005年1月更新的277例复发性疝。所获得的数据——评估技术、结果和并发症——被用于提出一种简单的解剖临床分类，分为三种类型，可用于制定手术策略：R1型：首次复发“高位”，斜外侧可复性疝，非肥胖患者缺损小（<2cm），经单纯组织或补片修补后；R2型：首次复发“低位”，直疝，非肥胖患者缺损小（<2cm），经单纯组织或补片修补后；R3型：所有其他复发情况——包括股疝复发；巨大缺损（腹股沟膨出）的复发性腹股沟疝；多次复发性疝；不可复性，与对侧原发性或复发性疝相关；以及因加重因素（如肥胖）或无论如何不易纳入R1或R2型的情况，经单纯组织或补片修补后。
