지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2010.6
- 수록면
- 405 - 409 (5page)
이용수
초록· 키워드
오류제보하기
Purpose: We retrospectively reviewed the medical records to estimate the feasibility and surgical outcome of laparoscopic herniorrhaphies in patients with previous lower abdominal surgery.
Methods: Between December 2000 and December 2008, a total of 1,101 cases of laparoscopic herniorrhaphies were performed in 974 patients, among them 47 cases (4.27%) of laparoscopic herniorrhaphy in 40 patients who had undergone previous lower abdominal surgery were enrolled to this study.
Results: Most patients (23 of 24) who had a history of appendectomy successfully underwent laparoscopic totally extraperitoneal (TEP) repair. Six patients who had history of a prostatectomy and 2 patients with a Pfannenstiel incision underwent an intraperitoneal only mesh (IPOM) repair after a failed TEP repair. Five patients had lower midline incisions due to panperitonitis, among them TEP repairs were performed in 3 patients and IPOM was performed after failed TEP repairs in 2 patients who had undergone surgery due to trauma-induced rupture of the bladder.
Conclusion: Laparoscopic TEP hernia repair could be possible and reasonable in patients after an appendectomy; however, it is difficult in patients with previous pelvic surgeries. Additional studies are needed to determine whether or not laparoscopic TEP repair for inguinal hernias is feasible in patients who have undergone other general surgical procedures.
Methods: Between December 2000 and December 2008, a total of 1,101 cases of laparoscopic herniorrhaphies were performed in 974 patients, among them 47 cases (4.27%) of laparoscopic herniorrhaphy in 40 patients who had undergone previous lower abdominal surgery were enrolled to this study.
Results: Most patients (23 of 24) who had a history of appendectomy successfully underwent laparoscopic totally extraperitoneal (TEP) repair. Six patients who had history of a prostatectomy and 2 patients with a Pfannenstiel incision underwent an intraperitoneal only mesh (IPOM) repair after a failed TEP repair. Five patients had lower midline incisions due to panperitonitis, among them TEP repairs were performed in 3 patients and IPOM was performed after failed TEP repairs in 2 patients who had undergone surgery due to trauma-induced rupture of the bladder.
Conclusion: Laparoscopic TEP hernia repair could be possible and reasonable in patients after an appendectomy; however, it is difficult in patients with previous pelvic surgeries. Additional studies are needed to determine whether or not laparoscopic TEP repair for inguinal hernias is feasible in patients who have undergone other general surgical procedures.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (20)
참고문헌 신청
1. [학술지(정기간행물)] - Davis CJ / 2003 / Laparoscopic repair for groin hernias / Surg Clin North Am 83 : 1141 ~ 1161
2. [학술지(정기간행물)] - Chung RS / 1999 / Meta-analyses of randomized controlled trials of laparoscopic vs conventional inguinal hernia repairs / Surg Endosc 13 : 689 ~ 694
3. [학술지(정기간행물)] - Heikkinen TJ / 1998 / A prospective randomized outcome and cost comparison of totally extraperitoneal endoscopic hernioplasty versus Lichtenstein hernia operation among employed patients / Surg Laparosc Endosc 8 : 338 ~ 344
4. [학술지(정기간행물)] - Liem MS / 1997 / Comparison of conventional anterior surgery and laparoscopic surgery for inguinal-hernia repair / N Engl J Med 336 : 1541 ~ 1547
5. [학술지(정기간행물)] - Smith CD / 1999 / Laparoscopic totally extraperitoneal inguinal hernia repair / Oper Tech Gen Surg 1 : 185 ~ 196
2. [학술지(정기간행물)] - Chung RS / 1999 / Meta-analyses of randomized controlled trials of laparoscopic vs conventional inguinal hernia repairs / Surg Endosc 13 : 689 ~ 694
3. [학술지(정기간행물)] - Heikkinen TJ / 1998 / A prospective randomized outcome and cost comparison of totally extraperitoneal endoscopic hernioplasty versus Lichtenstein hernia operation among employed patients / Surg Laparosc Endosc 8 : 338 ~ 344
4. [학술지(정기간행물)] - Liem MS / 1997 / Comparison of conventional anterior surgery and laparoscopic surgery for inguinal-hernia repair / N Engl J Med 336 : 1541 ~ 1547
5. [학술지(정기간행물)] - Smith CD / 1999 / Laparoscopic totally extraperitoneal inguinal hernia repair / Oper Tech Gen Surg 1 : 185 ~ 196
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