Advances in pediatric surgery
- 제4권1호
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- Pages.48-54
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- 1998
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- 2635-8778(pISSN)
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- 2635-8786(eISSN)
소아 서혜부 탈장의 임상적 고찰
Clinical Study of Inguinal Hernia in Children
- 김경래 (부산 성분도 병원 외과) ;
- 김성수 (부산 성분도 병원 외과) ;
-
이영택
(부산 성분도 병원 외과) ;
- 박용기 (부산 성분도 병원 외과) ;
- 최창록 (부산 성분도 병원 외과)
- Kim, Kyeung-Rae (Department of General Surgery, St. Benedict Hospital Pusan) ;
- Kim, Sung-Soo (Department of General Surgery, St. Benedict Hospital Pusan) ;
-
Lee, Young-Taek
(Department of General Surgery, St. Benedict Hospital Pusan) ;
- Park, Yong-Kee (Department of General Surgery, St. Benedict Hospital Pusan) ;
- Choi, Chang-Rok (Department of General Surgery, St. Benedict Hospital Pusan)
- 발행 : 1998.06.30
초록
A total of 335 pediatric inguinal hernias were analyzed at the Department of General Surgery, St. Benedict Hospital, for last 10 years (1986 to 1995). Male patients were predominant(2.25 : 1), and 78.2 % were under 2 years of age. Right side was 1.63 times more frequent than the left. Among the 19 cases of incarcerated hernias, 84 % could be safely reduced preoperatively. Twelve cases(3.6 %) were repaired by the Bassini procedure and 21 cases(6.3 %) by internal ring repair. The majority (90.1 %) however did not require a posterior wall reconstruction. Bilaterality was found in 25 cases(7.5 %), and in 8 cases(2.4 %) subsequent contralateral hernia developed after primary ipsilateral repair. Postoperative complication occurred in 15 cases(4.5 %); scrotal seroma and/or hematoma(3%), wound infection(0.6 %), and pneumonia(0.9 %). In order to reduce the incidents of complications, children with inguinal hernias should be treated by a pediatric surgeon.