Advances in pediatric surgery
- 제12권2호
- /
- Pages.155-166
- /
- 2006
- /
- 2635-8778(pISSN)
- /
- 2635-8786(eISSN)
2005년도 소아 서혜부 탈장치료 경향
Trend (in 2005) of Repair of Inguinal Hernia in Children in Korea - A National Survey by the Korean Association of Pediatric Surgeons in 2005 -
- 김성민 (대한소아외과학회) ;
- 김대연 (대한소아외과학회) ;
- 김상윤 (대한소아외과학회) ;
- 김성철 (대한소아외과학회) ;
- 김우기 (대한소아외과학회) ;
- 김재억 (대한소아외과학회) ;
- 김재천 (대한소아외과학회) ;
- 박귀원 (대한소아외과학회) ;
- 서정민 (대한소아외과학회) ;
- 송영택 (대한소아외과학회) ;
- 오정탁 (대한소아외과학회) ;
- 이남혁 (대한소아외과학회) ;
- 이두선 (대한소아외과학회) ;
- 전용순 (대한소아외과학회) ;
- 정상영 (대한소아외과학회) ;
- 정을삼 (대한소아외과학회) ;
- 최금자 (대한소아외과학회) ;
- 최순옥 (대한소아외과학회) ;
- 한석주 (대한소아외과학회) ;
- 허영수 (대한소아외과학회) ;
- 홍정 (대한소아외과학회) ;
- 최승훈 (대한소아외과학회)
- Kim, Seong-Min (The Korean Association of Pediatric Surgeons (KAPS)) ;
- Kim, Dae-Yeon (The Korean Association of Pediatric Surgeons (KAPS)) ;
- Kim, Sang-Yoon (The Korean Association of Pediatric Surgeons (KAPS)) ;
- Kim, Seong-Chul (The Korean Association of Pediatric Surgeons (KAPS)) ;
- Kim, Woo-Ki (The Korean Association of Pediatric Surgeons (KAPS)) ;
- Kim, Jae-Eok (The Korean Association of Pediatric Surgeons (KAPS)) ;
- Kim, Jae-Chun (The Korean Association of Pediatric Surgeons (KAPS)) ;
- Park, Kwi-Won (The Korean Association of Pediatric Surgeons (KAPS)) ;
- Seo, Jeong-Meen (The Korean Association of Pediatric Surgeons (KAPS)) ;
- Song, Young-Tack (The Korean Association of Pediatric Surgeons (KAPS)) ;
- Oh, Jung-Tak (The Korean Association of Pediatric Surgeons (KAPS)) ;
- Lee, Nam-Hyuk (The Korean Association of Pediatric Surgeons (KAPS)) ;
- Lee, Doo-Sun (The Korean Association of Pediatric Surgeons (KAPS)) ;
- Chun, Yong-Soon (The Korean Association of Pediatric Surgeons (KAPS)) ;
- Chung, Sang-Young (The Korean Association of Pediatric Surgeons (KAPS)) ;
- Chung, Eul-Sam (The Korean Association of Pediatric Surgeons (KAPS)) ;
- Choi, Kum-Ja (The Korean Association of Pediatric Surgeons (KAPS)) ;
- Choi, Soon-Ok (The Korean Association of Pediatric Surgeons (KAPS)) ;
- Han, Seok-Joo (The Korean Association of Pediatric Surgeons (KAPS)) ;
- Huh, Young-Soo (The Korean Association of Pediatric Surgeons (KAPS)) ;
- Hong, Jeong (The Korean Association of Pediatric Surgeons (KAPS)) ;
- Choi, Seung-Hoon (The Korean Association of Pediatric Surgeons (KAPS))
- 투고 : 2005.12.12
- 심사 : 2006.07.04
- 발행 : 2006.12.31
초록
Inguinal hernia is the most common disease treated by the pediatric surgeon. There are several controversial aspects of management 1)the optimal timing of surgical repair, especially for preterm babies, 2)contralateral groin exploration during repair of a clinically unilateral hernia, 3)use of laparoscope in contralateral groin exploration, 4)timing of surgical repair of cord hydrocele, 5)perioperative pain control, 6)perioperative management of anemia. In this survey, we attempted to determine the approach of members of KAPS to these aspects of hernia treatment. A questionnaire by e-mail or FAX was sent to all members. The content of the questionnaire were adapted from the "American Academy of Pediatrics (AAP) Section on Surgery hernia survey revisited (J Pediatr Surg 40, 1009-1014, 2005)". For full-term male baby, most surgeons (85.7 %) perform an elective operation as soon as diagnosis was made. For reducible hernia found in ex-preterm infants already discharged from the neonatal intensive care unit (NICU), 76.2 % of surgeons performed an elective repair under general anesthesia (85.8 %). 42.9 % of the surgeons performed the repair just before discharge. For same-day surgery for the ex-premature baby, the opinion was evenly divided. For an inguinal hernia with a contralateral undescended testis in a preterm baby, 61.9 % of surgeons choose to 'wait and see' until 12 month of age. The most important consideration in deciding the timing of surgery of inguinal hernia in preterm baby was the existence of bronchopulmonary dysplasia (82.4 %), episode of apnea/bradycardia on home monitoring (70.6 %). Most surgeons do not explore the contralateral groin during unilateral hernia repair. Laparoscope has not been tried. Most surgeons do not give perioperative analgesics or blood transfusion.