복강경 서혜부 탈장봉합술의 장점에 대한 임상적 고찰
A Clinical Review of the Advantages of Laparoscopic Inguinal Herniorrhaphy
김양훈, 신준호, 박재준, 손병호, 류창학, 박용래, 김흥대, 김용신, 한원곤, 배원길,
소속 상세정보
김양훈 ( Kim Yang-Hun )
성균관대학교 의과대학 강북삼성병원 일반외과
신준호 ( Shin Jun-Ho )
성균관대학교 의과대학 강북삼성병원 외과학교실
박재준 ( Park Jae-Jun )
성균관대학교 의과대학 강북삼성병원 일반외과
손병호 ( Sohn Byung-Ho )
성균관대학교 의과대학 강북삼성병원 일반외과
류창학 ( Yoo Chang-Hak )
성균관대학교 의과대학 강북삼성병원 일반외과
박용래 ( Park Yong-Lai )
성균관대학교 의과대학 강북삼성병원 외과
김흥대 ( Kim Heung-Dae )
성균관대학교 의과대학 강북삼성병원 외과학교실
김용신 ( Kim Yong-Shin )
성균관대학교 의과대학 강북삼성병원 외과학교실
한원곤 ( Han Won-Kon )
성균관대학교 의과대학 강북삼성병원 일반외과
배원길 ( Pae Won-Kil )
성균관대학교 의과대학 강북삼성병원 일반외과
KMID : 0371320010610060604
Abstract
Purpose : Laparoscopic surgery has became or is being tried as a standard procedure in most of abdominal surgeries due to the advantages of little postoperative pain, shortened of hospital stay, early return to daily life, the cosmetic
effect
etc. In this article, we examine the availability of laparoscopic herniorrhaphy through a clinical review of patients who had undergone by laparoscopic or conventional herniorrhaphy.
Methods : The records and data of 137 inguinal hernia patients who underwent laparoscopic herniorrhaphy (n=57) or conventional herniorrhaphy (n=80), with similar sex and age distribution, were retrospectively analyzed. Laparoscopic
herniorrhaphy
equated to transabdominal preperitoneal repair and conventional herniorrhaphy to Bassini’s or Ferguson’s repair. As statistical method, the Chi-square and T-test was used.
Results : There was no significant difference noted between the groups in relation to sex, age, site and type of hernia, complication rate, or recurrence rate in both group. The laparoscopic group had a longer mean operative time (87.3 vs
68.6
min) and less frequent postoperative analgesic use (49.1 vs 72.6%) as compared to the conventional group. However there was no statistical significance. The laparoscopic group had a significantly shorter mean postoperative hospital day (3.6 vs
7.8
days)
and the mean period of return to work (6.2 vs 15.2 days) as compared to the conventional group.
Conclusion : Laparoscopic herniorrhaphy is thought to be becoming the preferred operative procedure for young patients with a flourishing social activity particularly due to its shortening of the postoperative hospital stay and
facilitating
the
early return to work. There is a need for the complication and recurrence rate to be reestimated following a sufficient and strict follow up. After studying more cases, a reevaluation must be done concerning the advantage of laparoscopic
herniorrhaphy.
키워드
복강경 탈장봉합술; 술 후 재원일수; 직장복귀기간; Laparoscopic herniorrhaphy; Postoperative hospital day; Period of return to work;
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