복강경 복막외 접근 탈장교정술과 PerfixⓇ를 이용한 무긴장 탈장교정술의 비교: 단기 추적 결과 (Comparison of Laparoscopic Totally Extraperitoneal Inguinal Hernia Repair and Tension-Free Herniorrhaphy Using PerfixⓇ: Short-Term Follow-Up Results)

서지정보

· 발행기관 : 대한외과학회
· 수록지 정보 : Annals of Surgical Treatment and Research / 77권 / 3호 / 189 ~ 194페이지
· 저자명 : 한민수, 이상목, 최성일, 주선형, 홍성화

초록

Purpose: Tension-free open repair for inguinal hernia is a safe and popular operation with a high success rate, but laparoscopic techniques are fairly recent. Comparing the tension-free herniorrhaphy using mesh and plug (PerfixⓇ) with laparoscopic totally extraperitoneal (TEP) hernia repair is the aim of this study.
Methods: We compared two groups of patients in which 39 patients with inguinal hernias were treated by tension-free repair using PerfixⓇ (group P) and 39 patients were treated by laparoscopic TEP repair (group T). Information about operation time, length of hospital stay, use of analgesics (pain), recurrence, complications, cosmetic satisfaction, medical costs, and time until return to work were evaluated retrospectively.
Results: Mean operation time, postoperative hospital stay, and the time until return to work were 101±33 min, 1.9±1.0 days, 11±8 days in group T, 86±28 min, 2.0±0.8 days, 12±10 days in group P. Postoperative complications, medical costs and the cosmetic satisfaction were 20.5%, 821,048 won, 94% (32/24) in group T, 7.7%, 692,149 won, 79% (19/24) in group P. There was difference between the two groups but not significant statistically. Group P used more analgesics than group T, significantly (P＜0.05). There was only 1 recurrence in group T.
Conclusion: Although we need more experience in patients with inguinal hernias, laparoscopic TEP repair may be a secure and feasible procedure compared to tension-free repair using PerfixⓇ.

영어초록

Purpose: Tension-free open repair for inguinal hernia is a safe and popular operation with a high success rate, but laparoscopic techniques are fairly recent. Comparing the tension-free herniorrhaphy using mesh and plug (PerfixⓇ) with laparoscopic totally extraperitoneal (TEP) hernia repair is the aim of this study.
Methods: We compared two groups of patients in which 39 patients with inguinal hernias were treated by tension-free repair using PerfixⓇ (group P) and 39 patients were treated by laparoscopic TEP repair (group T). Information about operation time, length of hospital stay, use of analgesics (pain), recurrence, complications, cosmetic satisfaction, medical costs, and time until return to work were evaluated retrospectively.
Results: Mean operation time, postoperative hospital stay, and the time until return to work were 101±33 min, 1.9±1.0 days, 11±8 days in group T, 86±28 min, 2.0±0.8 days, 12±10 days in group P. Postoperative complications, medical costs and the cosmetic satisfaction were 20.5%, 821,048 won, 94% (32/24) in group T, 7.7%, 692,149 won, 79% (19/24) in group P. There was difference between the two groups but not significant statistically. Group P used more analgesics than group T, significantly (P＜0.05). There was only 1 recurrence in group T.
Conclusion: Although we need more experience in patients with inguinal hernias, laparoscopic TEP repair may be a secure and feasible procedure compared to tension-free repair using PerfixⓇ.

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