Inguinal Hernia: A New (Not Anatomical) Classification
Journal of Surgery
Volume 7, Issue 3, June 2019, Pages: 74-77
Received: Apr. 26, 2019; Accepted: May 31, 2019; Published: Jun. 24, 2019
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Alloni Rossana, General Surgery Department, Campus Bio-Medico University of Rome, Rome, Italy
Luffarelli Paolo, General Surgery Department, Campus Bio-Medico University of Rome, Rome, Italy
Mallozzi S. Maria Francesco, General Surgery Department, Campus Bio-Medico University of Rome, Rome, Italy
Santoni Simone, General Surgery Department, Campus Bio-Medico University of Rome, Rome, Italy
Lichinchi Domenico Ernesto, Health Management Department, Campus Bio-Medico University of Rome, Rome, Italy
Vitali Massimiliano Andrea, Health Management Department, Campus Bio-Medico University of Rome, Rome, Italy
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Inguinal hernia is one of the most frequently found surgical problems, accounting for about 70-75 per cent of all hernia operations. Inguinal hernia represents a social disease, with considerable management costs. All classifications of inguinal hernia have something of arbitrary and artificial, and unfortunately are based on anatomic and functional criteria. Moreover, single hernia defect can be classified only during the operation and not in a preoperative setting. The aim of this study has been to evaluate the operative times and consequently identify factors that affect the surgical time. In this way we hope to create a new classification useful to standardize the operative time management. From February 2012 to June 2013, in the Day Surgery Unit of Campus Bio-Medico University of Rome, 110 consecutive patients were enrolled which underwent to inguinal hernioplasty, and they have been observed by the same surgical team. We evaluated clinical parameters (age, sex, BMI, hernia size defect, reducibility, primitive or recurrent hernia, previous hernia surgery) and compared them with surgical times. Data analysis shows a statistically significant relationship between reducibility, recurrent hernia, male gender, BMI and surgical times. This study confirms that an optimal clinical patient evaluation should always be the first step to an effective organizational choice and it allows realistic predictions about the duration of inguinal hernioplasty.
Inguinal Hernia, Surgical Time, Classification
To cite this article
Alloni Rossana, Luffarelli Paolo, Mallozzi S. Maria Francesco, Santoni Simone, Lichinchi Domenico Ernesto, Vitali Massimiliano Andrea, Inguinal Hernia: A New (Not Anatomical) Classification, Journal of Surgery. Vol. 7, No. 3, 2019, pp. 74-77. doi: 10.11648/j.js.20190703.15
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This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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