성인 서혜부 탈장 473예 임상적 분석

• Published in: Annals of surgical treatment and research Vol. 75; no. 2; pp. 109 - 115
• Main Authors: 정성원(Sung Won Jung), 허태길(Tae Gil Heo), 이정민(Jung Min Lee), 최평화(Pyong Wha Choi), 박제훈(Je Hoon Park), 이명수(Myung Soo Lee), 김철남(Chul Nam Kim), 장석효(Surk Hyo Chang)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.08.2008
• Subjects: 일반외과학; Adult; PHS; 서혜부 탈장; Inguinal hernia; 성인
• ISSN: 2288-6575; 2288-6796

Purpose: This article compares the results of various methods of inguinal hernia repair in adults. Methods: We retrospectively reviewed the medical records of 473 patients over 20 years of age who received an inguinal hernia repair procedure between January 2000 and June 2007. We analyzed the patients’ clinical factors and outcomes, dividing them into five groups according to method of repair: Bassini group, Lichtenstein group, mesh plug group, Prolene Hernia System (PHS) group, and laparoscopic group. Results: The mean number of used analgesics was significantly smaller in the PHS group than in other groups (P＜0.05, PHS group: 0.46, Bassini group: 1.55, Lichtenstein group: 1.20, mesh plug group: 0.82, laparoscopic group: 1.44). The mean operation time was significantly shorter in the PHS group than in the other groups (P＜0.05, PHS group: 45.18 min, Bassini group: 59.85 min, Lichtenstein group: 68.20 min, mesh plug group: 66.73 min, laparoscopic group: 83.33 min). Finally, the mean postoperative hospital staywas significantly shorter in the PHS group than in the other groups (P＜0.05, PHS group: 2.93 day, Bassini group: 4.96 day, Lichtenstein group: 4.17 day, mesh plug group: 4.01 day, laparoscopic group: 5.11 day). Out of five groups, there was onecase of postoperative recurrence in the Bassini group. Conclusion: Mesh PHS operation is a more preferred method of inguinal hernia repair in adults because it offers a lower postoperative pain, shorter operation time, shorter postoperative hospital stay. (J Korean Surg Soc 2008;75:109-115) KCI Citation Count: 4