서혜부 탈장에 있어서 매쉬를 이용한 탈장 교정술과 고식적 전방 접근술의 비교 분석
A Comparision of the Mesh Technique in Inguinal Hernia Repair with the Non-mesh Method
배종대, 정기훈, 정병욱,
소속 상세정보
배종대 ( Bae Jong-Dae )
동국대학교 의과대학 외과학교실
정기훈 ( Jung Ki-Hoon )
동국대학교 의과대학 외과학교실
정병욱 ( Jung Byeong-Wuk )
동국대학교 의과대학 외과학교실
KMID : 0371320020620010071
Abstract
Purpose : The mesh technique of inguinal hernia repair has revealed encouraging results in groin hernia repair. However, there are few reports in Korea analyzing the clinical results of the mesh technique compared with the non-mesh method
of
inguinal hernia repair.
Methods : Information was assimilated from randomized trials comparing the mesh and non-mesh methods in order to assess both benefits and safety. The clinical results of the mesh technique (n=38) and the non-mesh method (n=33) were
compared.
The
clinical features analyzed were age, sex, location, type of hernia, surgical time, use of postoperative analgesics, length of hospital stay, complication and recurrence.
Results : There was no significant difference between the mesh technique and the non-mesh method on sex, age, location, type of hernia. The average operation time was significantly longer in the mesh group than the non-mesh group (P<0.01,
60.9
min vs 46.8 min). The average number of analgesics used was significantly smaller in the mesh group than the non-mesh group (P<0.01, 4.6 vs 8.2). The average duration of hospital stay was statistically shorter in the mesh group than the non-mesh
group
(P<0.01, 4.5 days vs 6.3 days). Postoperative complications were observed in only one case (hematoma) in the non-mesh group. Recurrence rate in the non-mesh group was 9% (3 cases), although there was no recurrence in a mesh group.
Conclusion : The mesh technique of inguinal hernia repair is a useful technique because it is less painful and causes a shorter hospital stay than the non-mesh method. In this study, we observed not a shortened surgical time and lower
recurrence
rate in the mesh group than in non-mesh.
키워드
매쉬를 이용한 탈장 교정술; 고식적 전방 접근술; 서혜부 탈장; Mesh technique; Non-mesh method; Inguinal hernia;
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