再発鼠径ヘルニアに対する腹腔鏡下経腹的腹膜前メッシュ修復術の検討
目的:再発鼠径ヘルニア症例に対する腹腔鏡下経腹的腹膜前メッシュ修復法（transabdominal preperitoneal mesh repair:TAPP）とopen mesh repair（OMR）の短期的な成績と有用性を検討した．対象と方法:1996年から2007年までの鼠径ヘルニア手術694例中再発は27例（4％）であり，その内メッシュを用いた修復は21例であった．TAPP（10例，61±4歳）とOMR（11例，62±2歳）を比較検討した．成績:手術時間は，TAPP 96±12分，OMR 108±11分と差はなかったが，術中出血量ではTAPP2±1mlに対しOMR 14±5mlと有...
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| Published in | 日本臨床外科学会雑誌 Vol. 70; no. 2; pp. 368 - 374 |
|---|---|
| Main Authors | , , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本臨床外科学会
2009
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1345-2843 1882-5133 |
| DOI | 10.3919/jjsa.70.368 |
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| Abstract | 目的:再発鼠径ヘルニア症例に対する腹腔鏡下経腹的腹膜前メッシュ修復法（transabdominal preperitoneal mesh repair:TAPP）とopen mesh repair（OMR）の短期的な成績と有用性を検討した．対象と方法:1996年から2007年までの鼠径ヘルニア手術694例中再発は27例（4％）であり，その内メッシュを用いた修復は21例であった．TAPP（10例，61±4歳）とOMR（11例，62±2歳）を比較検討した．成績:手術時間は，TAPP 96±12分，OMR 108±11分と差はなかったが，術中出血量ではTAPP2±1mlに対しOMR 14±5mlと有意に高値であった．術後入院期間も，TAPP5±1日に対しOMR8±1日と有意に長かった．TAPPでは術後合併症を認めなかったが，OMRでは3例に皮下出血，1例に著しい疼痛を認めた．結論:再発鼠径ヘルニアにおけるTAPPはOMRより術後早期の愁訴が少なく早期に社会復帰可能な治療法として有用である． |
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| AbstractList | 目的:再発鼠径ヘルニア症例に対する腹腔鏡下経腹的腹膜前メッシュ修復法（transabdominal preperitoneal mesh repair:TAPP）とopen mesh repair（OMR）の短期的な成績と有用性を検討した．対象と方法:1996年から2007年までの鼠径ヘルニア手術694例中再発は27例（4％）であり，その内メッシュを用いた修復は21例であった．TAPP（10例，61±4歳）とOMR（11例，62±2歳）を比較検討した．成績:手術時間は，TAPP 96±12分，OMR 108±11分と差はなかったが，術中出血量ではTAPP2±1mlに対しOMR 14±5mlと有意に高値であった．術後入院期間も，TAPP5±1日に対しOMR8±1日と有意に長かった．TAPPでは術後合併症を認めなかったが，OMRでは3例に皮下出血，1例に著しい疼痛を認めた．結論:再発鼠径ヘルニアにおけるTAPPはOMRより術後早期の愁訴が少なく早期に社会復帰可能な治療法として有用である． |
| Author | 笹島, 耕二 松田, 明久 鈴木, 成治 横山, 正 松谷, 毅 宮本, 昌之 松下, 晃 田尻, 孝 柳, 健 丸山, 弘 |
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| References | 24) Eklund A, Ruberg C, Leijonmarck CE, et al : Recurrent inguinal hernia : randomized multicenter trial comparing laparoscopic and Lichtenstein repair. Surg Endosc 2007 ; 21 : 634-640 18) Stoker DL, Spigelhalter DJ, Singh R, et al : Laparoscopic versus open inguinal hernia repair : randomized prospective trial. Lancet 1994 ; 343 : 1243-1245 15) Millikan KW, Kosik ML, Doolas A : A prospective comparison of transabdominal preperitoneal laparoscopic hernia repair versus traditional open hernia repair in a university setting. Surg Laparosc Endosc 1994 ; 4 : 247-253 13) 松本純夫:腹腔鏡下鼠径ヘルニア手術．手術 1993;47:645-650 1) 大澤二郎，中西正樹，石黒 聡他:再発鼠径ヘルニアの手術．消外 1998;21:1741-1749 14) 松本純夫，川辺則彦，森 健次他:腹腔鏡による鼠径ヘルニア修復術の経験．日消外会誌 1993;26:2429-2432 12) Järhult J, Häkanson C, Akerud L : Laparoscopic treatment of recurrent inguinal hernias : experience from 281 operations. Surg Laparosc Endosc 1999 ; 9 : 115-118 3) Hawasli A, Thao U, Chapital A : Laparoscopic transabdominal preperitoneal inguinal hernia repair for recurrent inguinal hernia. Am Surg 2002 ; 68 : 303-308 25) Mahon D, Decadt B, Rhodes M : Prospective randomized trial of laparoscopic (transabdominal preperitoneal) vs open (mesh) repair for bilateral and recurrent inguinal hernia. Surg Endosc 2003 ; 17 : 1386-1390 2) Haapaniemi S, Gunnarsson U, Nordin P, et al : Reoperation after recurrent groin hernia repair. Ann Surg 2001 ; 234 : 122-126 7) Smith AI, Royston CM, Sedman PC : Stapled and nonstapled laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair. A prospective randomized trial. Surg Endosc 1999 ; 13 : 804-806 16) Quilici PJ, Greaney EM, Quilici J, et al : Laparoscopic inguinal hernia repair results : 131 cases. Am Surg 1994 ; 59 : 824-830 4) Zheng H, Si Z, Kasperk R : Recurrent inguinal hernia : disease of the collagen matrix ? World J Surg 2002 ; 26 : 401-408 19) Wilson MS, Deans GT, Brough WA : Prospective trial comparing Lichtenstein with laparoscopic tension-free mesh repair of inguinal hernia. Br J Surg 1995 ; 82 : 274-277 5) Ger R, Monroe K, Duvivier R, et al : Management of indirect inguinal hernia by laparoscopic closer of the neck of the sac. Am J Surg 1990 ; 159 : 370-373 22) Bingener J, Dorman JP, Valdes G : Recurrence rate after laparoscopic repair of recurrent inguinal hernias : have we improved ? Surg Endosc 2003 ; 17 : 1781-1783 9) Ridings P, Evans DS : The transabdominal pre-peritoneal (TAPP) inguinal hernia repair. A trip along the learning curve. J R Coll Surg Edinb 2000 ; 45 : 29-32 11) Bittner R, Schmedt CG, Schwarz J, et al : Laparoscopic transperitoneal procedure for routine repair of groin hernia. Br J Surg 2002 ; 89 : 1062-1066 20) Memon MA, Cooper NJ, Memon B, et al : Meta-analysis of randomized clinical trials comparing open and laparoscopic inguinal hernia repair. Br J Surg 2003 ; 90 : 1479-1492 6) Schultz L, Graber J, Pietrafitta J, et al : Laser laparoscopic herniorraphy : a clinical trial preliminary results. J Laparoendosc Surg 1990 ; 1 : 41-45 8) Leibl BJ, Kraft B, Redecke JD, et al : Are postoperative complaints and complications influenced by different techniques in fashioning and fixing the mesh in transperitoneal laparoscopic hernioplasty ? Results of a prospective randomized trial. World J Surg 2002 ; 26 : 1481-1484 23) Neumayer L, Giobbie-Hurde A, Jonasson O, et al : Veterans Affairs Cooperative Studies Progrum 456 Investigators : Open mesh versus laparoscopic mesh repair of inguinal hernia. N Engl J Med 2004 ; 350 : 1819-1827 10) Kapiris SA, Brough WA, Royston CM, et al : Laparoscopic transabdominal preperitoneal (TAPP) hernia repair. A 7-year two-center experience in 3017 patients. Surg Endosc 2001 ; 15 : 972-975 17) Brooks DC : A prospective comparison of laparoscopic and tension free open herniorrhaphy. Arch Surg 1994 ; 129 : 361-366 21) Keidar A, Kanitkar S, Szold A : Laparoscopic repair of recurrent ingunal hernia. Surg Endosc 2002 ; 16 : 1708-1712 |
| References_xml | – reference: 13) 松本純夫:腹腔鏡下鼠径ヘルニア手術．手術 1993;47:645-650 – reference: 14) 松本純夫，川辺則彦，森 健次他:腹腔鏡による鼠径ヘルニア修復術の経験．日消外会誌 1993;26:2429-2432 – reference: 17) Brooks DC : A prospective comparison of laparoscopic and tension free open herniorrhaphy. Arch Surg 1994 ; 129 : 361-366 – reference: 20) Memon MA, Cooper NJ, Memon B, et al : Meta-analysis of randomized clinical trials comparing open and laparoscopic inguinal hernia repair. Br J Surg 2003 ; 90 : 1479-1492 – reference: 23) Neumayer L, Giobbie-Hurde A, Jonasson O, et al : Veterans Affairs Cooperative Studies Progrum 456 Investigators : Open mesh versus laparoscopic mesh repair of inguinal hernia. N Engl J Med 2004 ; 350 : 1819-1827 – reference: 19) Wilson MS, Deans GT, Brough WA : Prospective trial comparing Lichtenstein with laparoscopic tension-free mesh repair of inguinal hernia. Br J Surg 1995 ; 82 : 274-277 – reference: 25) Mahon D, Decadt B, Rhodes M : Prospective randomized trial of laparoscopic (transabdominal preperitoneal) vs open (mesh) repair for bilateral and recurrent inguinal hernia. Surg Endosc 2003 ; 17 : 1386-1390 – reference: 3) Hawasli A, Thao U, Chapital A : Laparoscopic transabdominal preperitoneal inguinal hernia repair for recurrent inguinal hernia. Am Surg 2002 ; 68 : 303-308 – reference: 6) Schultz L, Graber J, Pietrafitta J, et al : Laser laparoscopic herniorraphy : a clinical trial preliminary results. J Laparoendosc Surg 1990 ; 1 : 41-45 – reference: 18) Stoker DL, Spigelhalter DJ, Singh R, et al : Laparoscopic versus open inguinal hernia repair : randomized prospective trial. Lancet 1994 ; 343 : 1243-1245 – reference: 8) Leibl BJ, Kraft B, Redecke JD, et al : Are postoperative complaints and complications influenced by different techniques in fashioning and fixing the mesh in transperitoneal laparoscopic hernioplasty ? Results of a prospective randomized trial. World J Surg 2002 ; 26 : 1481-1484 – reference: 2) Haapaniemi S, Gunnarsson U, Nordin P, et al : Reoperation after recurrent groin hernia repair. Ann Surg 2001 ; 234 : 122-126 – reference: 4) Zheng H, Si Z, Kasperk R : Recurrent inguinal hernia : disease of the collagen matrix ? World J Surg 2002 ; 26 : 401-408 – reference: 12) Järhult J, Häkanson C, Akerud L : Laparoscopic treatment of recurrent inguinal hernias : experience from 281 operations. Surg Laparosc Endosc 1999 ; 9 : 115-118 – reference: 10) Kapiris SA, Brough WA, Royston CM, et al : Laparoscopic transabdominal preperitoneal (TAPP) hernia repair. A 7-year two-center experience in 3017 patients. Surg Endosc 2001 ; 15 : 972-975 – reference: 11) Bittner R, Schmedt CG, Schwarz J, et al : Laparoscopic transperitoneal procedure for routine repair of groin hernia. Br J Surg 2002 ; 89 : 1062-1066 – reference: 1) 大澤二郎，中西正樹，石黒 聡他:再発鼠径ヘルニアの手術．消外 1998;21:1741-1749 – reference: 15) Millikan KW, Kosik ML, Doolas A : A prospective comparison of transabdominal preperitoneal laparoscopic hernia repair versus traditional open hernia repair in a university setting. Surg Laparosc Endosc 1994 ; 4 : 247-253 – reference: 16) Quilici PJ, Greaney EM, Quilici J, et al : Laparoscopic inguinal hernia repair results : 131 cases. Am Surg 1994 ; 59 : 824-830 – reference: 7) Smith AI, Royston CM, Sedman PC : Stapled and nonstapled laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair. A prospective randomized trial. Surg Endosc 1999 ; 13 : 804-806 – reference: 24) Eklund A, Ruberg C, Leijonmarck CE, et al : Recurrent inguinal hernia : randomized multicenter trial comparing laparoscopic and Lichtenstein repair. Surg Endosc 2007 ; 21 : 634-640 – reference: 21) Keidar A, Kanitkar S, Szold A : Laparoscopic repair of recurrent ingunal hernia. Surg Endosc 2002 ; 16 : 1708-1712 – reference: 5) Ger R, Monroe K, Duvivier R, et al : Management of indirect inguinal hernia by laparoscopic closer of the neck of the sac. Am J Surg 1990 ; 159 : 370-373 – reference: 22) Bingener J, Dorman JP, Valdes G : Recurrence rate after laparoscopic repair of recurrent inguinal hernias : have we improved ? Surg Endosc 2003 ; 17 : 1781-1783 – reference: 9) Ridings P, Evans DS : The transabdominal pre-peritoneal (TAPP) inguinal hernia repair. A trip along the learning curve. J R Coll Surg Edinb 2000 ; 45 : 29-32 |
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| SubjectTerms | open mesh repair 再発鼠径ヘルニア 腹腔鏡下経腹的腹膜前メッシュ修復法 |
| Title | 再発鼠径ヘルニアに対する腹腔鏡下経腹的腹膜前メッシュ修復術の検討 |
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