복부 탈장의 확대 복막외 접근 탈장교정술의 초기 국내 결과

Abstract

The extended or enhanced view totally extraperitoneal (eTEP) was introduced for complex inguinal hernia by Daes et al. in 2012. Since then, Belyansky et al. applied this technique to retromuscular mesh placement for ventral hernia repair, named the extended totally extraperitoneal Rives Stoppa (eTEP RS). There is no data on this novel techniques in Korea. Thirty-two patients underwent surgery for primary ventral abdominal hernia or incisional hernia between October 2018 and April 2022. The hernia location and size were measured according to the EHS classification using preoperative CT scans. Nineteen patients (59.4%) had a hernia in M3 location. The mean defect width and length sizes were 6.00 cm and 7.47 cm. The mean operation time was 199minutes (min. 115, max. 340 minutes). The mean estimated blood loss volume was 25.8(±27.2)ml. The most common complications were wound seroma (2 patients) and voiding difficulty (2 patients). There were 2 cases of recurrences. The mean hospital stay length was 8.25 days (min. 3, max. 24 days). The Visual Analogue Scale Score was checked at least 3 times daily and the highest score was analyzed. It showed a daily decrease of scale on operation day, postoperative day 1, and 3. In conclusion, we believe that the eTEP technique for ventral hernia repair can apply carefully in Korea. After more data is collected, we need further studies to confirm the safety and effectiveness.