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KMID : 1033020120020010018
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Journal of Hemiology: Diagnosis and Treatment of Hernias
2012 Volume.2 No. 1 p.18 ~ p.22
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The Efficacy and Safety of Cremaster Muscle Splitting When Seperating Spermatic Cord in Inguinal Hernia Repair with PHS
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Kang Jn-Gu
Lee In-Sub
Cho Hae-Chang
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Abstract
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Purpose: Dissection of the heria sac is the basic step in inguinal hernia surgery. At first, it is necessary to separate the spermatic cord from the hernia sac. If poorly understood about the spermatic cord, it causes limitation to use mesh, as well as injury of the surrounding structure in inguinal hernia repair. The aim of this study was to assess the efficacy and safety of method that minimally splits the cremaster muscle in the repair of inguinal hernia with PHS.
Methods: We had analyzed 1,417 patients (PHS 1,328 cases, Lichtenstein 89 cases) undergoing inguinal hernia repair at Daegu Fatima Hospital from January 2004 to April 2012. We retrospectively reviewed the medical records.
Results: The mean age of 1,417 patients was 54.9 years. Right inguinal hernias were more frequent (68.9%). Hospital stay over 3 days was 224 cases (15.7%). Among these, there were 13 cases postoperative complication that was affected by prolonged hospital stay (2 cases of seroma, 7 cases of wound hematoma and 1 case of scrotum swelling and 3 cases of voiding difficulty). The most frequent complication was Hematoma (54%). In occurrence of postoperative complication, there were significant differences among the two groups. There were no postoperative recurrences and chronic pain.
Conclusion: In our opinion, minimally splitting of the cremaster muscle offers more safety, more efficacy in the repair of inguinal hernia with PHS.
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KEYWORD
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Inguinal hernia, Prolene hernia system, Cremaster muscle
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