잠시만 기다려 주세요. 로딩중입니다.

사타구니탈장 초기 교정술로서의 리히텐슈타인교정술과 데사다교정술의 결과 비교

A Comparison of Treatment Outcomes between Desarda Repair and Lichtenstein Repair for Primary Inguinal Hernia

대한탈장학회지 2018년 8권 2호 p.27 ~ 31
권의영, 정진용, 김갑태,
소속 상세정보
권의영 ( Kwon Ei-Young ) - Presbyterian Medical Center Department of Surgery
정진용 ( Jung Jin-Yong ) - Presbyterian Medical Center Department of Surgery
김갑태 ( Kim Kap-Tae ) - Presbyterian Medical Center Department of Surgery

Abstract


Purpose: Lichtenstein repair (LR) has been recognized as the standard treatment for primary inguinal hernia (PIH) in adults because of high recurrence rates of tissue repairs. Introduced in 2001, Desarda repair (DR) has shown low recurrence rates despite tissue-based repair. PIH repair is included in the “diagnosis-related group” in Korea, and reducing total surgery cost is an important factor. Therefore, we analyzed treatment outcomes of DR compared with those of LR in the treatment of PIH.

Methods: From December 2015 to May 2019, 70 patients underwent LR or DR for PIH at our center. These 70 patients were divided into 2 groups (DR group and LR group). DR group had 21 patients and LR group had 49. Primary outcome was recurrence rate of each repair. Secondary outcomes included postoperative pain, operation time, total cost, and postoperative complications such as surgical site infection, swelling, seroma, and hematoma.

Results: There was no recurrence in both groups during the study period. Postoperative pain was significantly higher in DR group on postoperative day 7 than in LR group (P=0.023). However, there were no statistical differences in postoperative complications and operation time. Average cost of DR was significantly lower than that of LR (P=0.013).

Conclusion: DR showed similar outcomes as LR, except postoperative pain on day 7. However, total surgery cost was lower for DR maybe because no mesh was required. As PIH repair is included in DRG in Korea, DR is not an inferior choice to LR for the treatment of primary PIH.

키워드

Inguinal hernia; Hernia repair; Diagnosis-related groups

원문 및 링크아웃 정보

등재저널 정보