Clinical usefulness of laparoscopic total extraperitoneal hernia repair for recurrent inguinal hernia
Jang In-Sik, 이상목, 김주현, 김범수, 최성일,
소속 상세정보
( Jang In-Sik )
Kyung Hee University School of Medicine Department of Surgery
이상목 ( Lee Sang-Mok )
Kyung Hee University School of Medicine Department of Surgery
김주현 ( Kim Joo-Hyun )
Kyung Hee University School of Medicine Department of Surgery
김범수 ( Kim Beum-Su )
Kyung Hee University School of Medicine Department of Surgery
최성일 ( Choi Sung-Il )
Kyung Hee University School of Medicine Department of Surgery
KMID : 0371320110800050313
Abstract
Purpose: Hernia repair after recurrence is a challenging procedure, and many approaches have been suggested for it. Total extraperitoneal (TEP) hernia repair should be considered in recurrent hernia. This study was conducted for the purpose of investigating the clinical usefulness of laparoscopic TEP hernia repair for recurrent inguinal hernia.
Methods: Among the 191 patients who underwent TEP hernia repair at these authors’ center from June 2006 to January 2010, the bilateral-hernia cases and the patients with a history of previous pelvic surgery were excluded. A total of 19 patients (12.5%) were enrolled in the recurrent-inguinal-hernia group (group R), and 133 patients (87.5%) in the primary-hernia group (group P). Data were investigated retrospectively, based on the medical records.
Results: The mean operation time was 97 minutes in group R and 99 minutes in group P (>0.05). In group R, no operation modality change occurred, and temporary urinary retention was developed in four patients (21.1%). In group P, on the other hand, operation modality change from TEP to the transabdominal preperitoneal approach was necessary in four patients (3%). Additionally, in group P, 30 patients (22.6%) had temporary urinary retention and six (4.5%) had testicular edema. No recurrence was identified during the follow-up period in both groups (mean follow-up period: 15.8 months for group R and 18.0 months for group P).
Conclusion: Laparoscopic TEP hernia repair seems to be a safe and useful method for correcting recurrent inguinal hernia.
키워드
Recurrent inguinal hernia; Laparoscopy; Total extraperitoneal approach
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