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- W2316456593 abstract "背景:若年成人の鼠径ヘルニアは小児同様，腹膜鞘状突起の遺残に由来するものがほとんどで，安易に人工素材を用いた術式を適応することには疑問を覚える．小児領域で普及されている低侵襲術式である，laparoscopic percutaneous extraperitoneal closure（LPEC）は後壁補強をしない術式であるが，若年成人症例での適応の可能性を示唆し，mesh plug法を施行した症例と比較検討した．対象と方法:16歳以降の症例20例に対しLPECを5例に，mesh plug法を15例に施行した．結果:LPEC群で平均22.2分，mesh plug群で平均74.2分とLPEC群で明らかな手術時間の短縮が認められた．疼痛コントロールに関してもLPEC群は良好であった．LPEC群で1例にNuck水腫の再発を認めたが，再度LPECで根治した．結語:内鼠径ヘルニアを否定できればLPECは小児のみならず若年成人においても手術時間の短縮，異物挿入不要，整容面からも有用と考えられた．" @default.
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- W2316456593 date "2010-01-01" @default.
- W2316456593 modified "2023-10-14" @default.
- W2316456593 title "UTILITY OF LAPAROSCOPIC PERCUTANEOUS EXTRAPERITONEAL CLOSURE FOR TREATING ADULT PATIENTS WITH INGUINAL HERNIA" @default.
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