단일 기관에서 시행한 전복막외 복강경 탈장교정술과 Prolene Hernia System의 비교 분석

• Published in: Journal of minimally invasive surgery pp. 75 - 78
• Main Authors: 구정모, 김일동, 김기호, 신동우, 서병선, 김상욱, 임혜인, 박진수
• Format: Journal Article
• Language: Korean
• Published: 대한내시경복강경외과학회 01.09.2012
• Subjects: 일반외과학
• ISSN: 2234-778X; 2234-5248

Purpose: Laparoscopic hernioplasty is a standard procedure used for the repair of inguinal hernia. However, due to the technical and anatomical complexities associated with this treatment and the requirement for long surgery time as compared to other methods, the use of laparoscopic hernioplasty remains questionable. This study compared the results of two surgical repair methods: totally extraperitoneal (TEP) hernia repair and the Prolene hernia system (PHS). Methods: A retrospective review was conducted of all patients who underwent TEP (154 cases) and PHS (126 cases)from January 2008 to December 2010 as performed by a surgeon at our hospital. Operating time, length of hospital stay, recurrence rate, surgical site infection rate, wound hematoma rate and scrotum swelling rate were all compared. Results: For the TEP treatment cases the mean operating time was 59.5 min, mean hospital stay was 4.9 days, there were 2 cases (1.3%) of recurrence, one case (0.6%) of surgical site infection, 20 cases (12.9%) of wound hematoma and 8cases (5.2%) of scrotum swelling. In the case including treatment by PHS the mean operating time was 39.6 min,mean hospital stay was 5.4 days, there were no cases of recurrence, there were 2 cases (1.7%) of surgical site infection, 11 cases (9.5%) of wound hematoma and 12 cases (10.3%) of scrotum swelling. There were no cases involving neurogenic pain or chronic pain. Conclusion: Both PHS and TEP are safe and effective procedures for repairing inguinal hernia. Thus, with consideration of variable patient conditions and other factors, either PHS or TEP are recommended as viable procedures for treating inguinal hernia. KCI Citation Count: 0