탈장교정술의 비교 분석 -복강경, Lichtenstein, 고식적 탈장교정술-
A Comparing Study of Herniorrhaphies -Laparoscopy, Lichtenstein and Conventional Repairs-
김지수, 장혁재, 조용필, 김용호, 최윤백, 한명식,
소속 상세정보
김지수 ( Kim Ji-Su )
아산재단 강릉병원 외과학교실
장혁재 ( Jang Hyuk-Jai )
아산재단 강릉병원 외과학교실
조용필 ( Cho Yong-Pil )
울산대학교 의과대학 강릉아산병원 외과학교실
김용호 ( Kim Yong-Ho )
울산대학교 의과대학 강릉아산병원 외과
최윤백 ( Choi Youn-Baik )
울산대학교 의과대학 서울아산병원 외과학교실
한명식 ( Han Myoung-Sik )
울산대학교 의과대학 강릉아산병원 외과학교실
KMID : 0371320020630010057
Abstract
Purpose: The optimal surgical technique for inguinal hernia repair continues to be debated. This study was designed to investigate optimal surgical procedures in inguinal or femoral hernia.
Method: We analyzed 153 cases of herniorrhaphy on inguinal or femoral hernias between August 1996 and November 2000. We divided patient into four groups according to the methods of hernia repair, i.e., 1) 78 cases of laparoscopic
herniorrhaphy,
2) 42 cases of Lichtenstein herniorrhaphy, 3) 24 cases of Bassini herniorrhaphy and 4) 9 cases of McVay herniorrhaphy.
Results: The patient in the laparoscopic and Lichtenstein herniorrhaphy groups needed shorter hospital stays than those in the Bassini or McVay herniorrhaphy groups. The severity of pain was assessed by the total amount and duration of
nonsteroidal anti-inflammatory drug injections, which was minimal in the laparoscopic group. There were no differences in complications between the groups. One patient in the laparoscopy group had a hernia recurrence and was reoperated with
Lichtenstein
herniorrhaphy. We compared two tension-free herniorrhaphies with each other. The numbers of patients not needing analgesic injections were more in the laparoscopic than the Lichtenstein herniorrhaphy group, reflecting less pain in the former
group.
Hospital stays were also shorter in the laparoscopic than the Lichtenstein herniorrhaphy group.
Conclusion: We concluded that tension-free herniorrhaphy is superior to tension herniorrhaphy in terms of postoperative pain & recovery. Of the tension-free herniorrhaphies, laparoscopic herniorrhaphy is associated with less postoperative
pain
and shorter hospital stays than Lichtenstein herniorrhpahy.
키워드
복강경 탈장교정술; Lichtenstein 탈장교정술; 무긴장성 탈장교정술; Laparosocpic herniorrhaphy; Lichtenstein herniorrhaphy; Tension-free herniorrhaphy;
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