Campanelli G, Cavagnoli R, Bottero L, De Simone M, Pietri P
Institut de Chirurgie Générale Thoracique Pulmonaire, Université de Milan, Italie.
J Chir (Paris). 1996 Sep;133(6):270-3.
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.
我们回顾了932例患者的1005例腹股沟疝病例，其中包括113例复发性疝。87%的患者在术后一年再次就诊，以评估手术技术、结果和并发症。所获得的数据用于提出一种简单的解剖临床分类，分为三种类型，可用于指导手术策略。R1型包括非肥胖患者中小于2厘米的首次复发斜行可复性外疝：建议采用利chtenstein - 吉尔伯特技术。R2型包括非肥胖患者中小于2厘米的首次复发直疝且位于下方、可复性疝：建议采用万茨 - 特拉布科技术。R3型包括所有其他形式：建议采用斯托帕技术，或者选择腹腔镜检查。
