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Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Online ISSN 1827-1782
Ciaccia E., Silla R., Bhatti P., Dal Pos R.
Aim. The aim of this work is to point out which are the causes predisposing the hernia recurrence analysing the critical points of the techniques which are at present more employed, and to formulate a surgical protocol to which it is possible to have recourse in order to operate the hernia recurrences analysing retrospectively the results of the Authors concerning 152 patients.
Methods. A follow up of the patients was carried out at a week, at three months and at a year.
Results. Recurrence rate 0 at a year on a total of 152 patients.
Conclusion. Laparoscopic surgery is at present the method that can be used not only for the surgery of primary hernias but also for recurrences with direct suture and above all for prothetic recurrences and plurirecurrences. Open surgery, according to our experience, is suggested above all in the recurrences with direct suture reconverting the operation with prothetic technique; but sometimes it can be used also in the prothetic recurrences. In the latter case it is necessary to consider carefully that the approach is very difficult when the fibrosis gives no space to the planes of cleavage, or relatively easy when there is the possibility to take off the prosthesis totally or partially. It is only with the experience that sometimes, if necessary, one must face the most advanced techniques.