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KMID : 0371319840270020238
Journal of the Korean Surgical Society
1984 Volume.27 No. 2 p.238 ~ p.244
A Clinical Review of the Abdominal Hernia


Abstract
This is a report of clinical analysis and evaluation of 232 cases of abdominal hernia, operated at the Department of Surgery, Eul-Ji hospital for 5 years from March 1979 to February 1984.
1) The incidence of the abdominal hernia was 3. 5% of the total patient entered to the Dept. of Surgery.
2) The most common abdominal hernia was inguinal hernia(87.9% ), and the next were incisional hernia(4.3%), umbilical hernia(2.6%), diaphragmatic hernia (1.7%), internal hernia(l.7%), femoral hernia(0.9%), and the epigastric hernia(0.9%) in order.
3) The sexual incidence was predominant in male to the ratio of about 8:1, and the most prevalent age was under 5 years old(46.5%).
4) The inguinal hernia occurred on the right side in 116 cases(56.9%), the left in 80 cases (39.2%), and bilateral in 8 cases(3.9%). Indirect type was 192 cases(94. 1%), and direct type 12 cases(5.9% ).
5) The most common symptom of the abdominal hernia was palpable mass(77.9%).
6) The inguinal hernia was combined with hydrocele in 24 cases(10.3%), and cryptorchi-dism 8 cases(3.4%).
7) The modes of repair of inguinal hernia were High ligation method(63.8%), Bassini method (32.4%), McVay method(1.9%), and Halsted method(1.9%).
8) Of 4 patients with diaphragmatic hernia, 2 cases were traumatic hernia, one case was Bochdalek hernia and the other one was Morgagni hernia.
9) Incarceration developed in 8. 6% of the total hernia patients and strangulation in 2. 6%. 10) The mean hospital day of herniorrhapy was 6.7 days. 11) The incidence of postoperative complication was 6.4%.
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