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서혜부 탈장 교정술에서 Prolene Hernia System (PHS)의 Underlay를 효과적으로 거치하기 위한 전복막강 풍선 박리법

Other Titles
 Balloon Method for Preperitoneal Dissection in Inguinal Hernioplasty Using the Prolene Hernia System (PHS) 
Authors
 최성훈  ;  황호경  ;  최기홍  ;  강창무  ;  이우정 
Citation
 Journal of Herniology: Diagnosis and Treatment of Hernias (대한탈장학회지), Vol.1(1) : 17-20, 2011 
Journal Title
 Journal of Herniology: Diagnosis and Treatment of Hernias (대한탈장학회지) 
ISSN
 2287-1519 
Issue Date
2011
Keywords
Prolene Hernia System, Tension-free hernioplasty, Balloon method
Abstract
Recently, the prolene hernia system (PHS) has become a commonly accepted technique. We introduce a balloon method to effectively dissect the preperitoneal space for insertion of the underlay during the PHS hernioplasty. The procedure for dissection of the hernial sac and the spermatic cord is proceeded as the conventional method. The dissected hernia sac is reducted through the inguinal ring. Then, the balloon is introduced into the preperitoneal space and 500 ml of normal saline is insufflated. The preperitoneal space is automatically exfoliated as a spherical space of approximately 12 cm in diameter. After draining the saline from the balloon, the balloon is removed. Both the underlay and onlay of the PHS is placed. This method allows for an easy and consistent gain of space regarding the effective placement of the underlay in the preperitoneal space and is also supposed to reduce the risk of bleeding through rough manual dissection.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Chang Moo(강창무) ORCID logo https://orcid.org/0000-0002-5382-4658
Lee, Woo Jung(이우정) ORCID logo https://orcid.org/0000-0001-9273-261X
Choi, Gi Hong(최기홍) ORCID logo https://orcid.org/0000-0002-1593-3773
Choi, Sung Hoon(최성훈)
Hwang, Ho Kyoung(황호경) ORCID logo https://orcid.org/0000-0003-4064-7776
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/158151
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