KMID : 0371320080750020109
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Journal of the Korean Surgical Society 2008 Volume.75 No. 2 p.109 ~ p.115
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Clinical Analysis of 473 Cases of Inguinal Hernia in Adult Patients
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Jung Sung-Won
Lee Jung-Min Park Je-Hoon Choi Pyong-Wha Lee Myung-Soo Heo Tae-Kil Kim Chul-Nam Chang Surk-Hyo
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Abstract
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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£¼0.05, 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£¼0.05, 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£¼0.05, 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)
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KEYWORD
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Inguinal hernia, Adult, PHS
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