Purpose: Laparoscopic hernioplasty is a standard procedure used for the repair of inguinal hernia. However, due to the technical and anatomical complexities associated with this treatment and the requirement for long surgery time as compared to other methods, the use of laparoscopic hernioplasty remains questionable. This study compared the results of two surgical repair methods: totally extraperitoneal (TEP) hernia repair and the Prolene hernia system (PHS).Methods: A retrospective review was conducted of all patients who underwent TEP (154 cases) and PHS (126 cases) from January 2008 to December 2010 as performed by a surgeon at our hospital. Operating time, length of hospital stay, recurrence rate, surgical site infection rate, wound hematoma rate and scrotum swelling rate were all compared.Results: For the TEP treatment cases the mean operating time was 59.5 min, mean hospital stay was 4.9 days, there were 2 cases (1.3%) of recurrence, one case (0.6%) of surgical site infection, 20 cases (12.9%) of wound hematoma and 8 cases (5.2%) of scrotum swelling. In the case including treatment by PHS the mean operating time was 39.6 min, mean hospital stay was 5.4 days, there were no cases of recurrence, there were 2 cases (1.7%) of surgical site infection, 11 cases (9.5%) of wound hematoma and 12 cases (10.3%) of scrotum swelling. There were no cases involving neurogenic pain or chronic pain.Conclusion: Both PHS and TEP are safe and effective procedures for repairing inguinal hernia. Thus, with consideration of variable patient conditions and other factors, either PHS or TEP are recommended as viable procedures for treating inguinal hernia.
Trachytic cliff showing a unique appearance like noodle is located in the Mt. Bipa, Seo-myeon, Ulleung island. This cliff is named 'Guksubawi'(means noodle-like rock) by its appearance. There is cliffs on three sides except north side and each side shows semi-vertical columnar joints obviously. This columnar joint has different character in appearance and mineralogy according to their direction and this tendency is remarkable in contrast between the east side and the west side. The consideration of the cooling processes after eruption of trachytic lava based on the contrast of both columnar joints dealt in the full text. In the morphological approach, the columnar joint on the east side has narrower space and chisellike marks than the west side. And the joint walls are sharper on the east side than west side too. In the mineralogical approach, then, trachyte on the west side has bigger phenocrysts than the east side and is showing glomeroporphyritic texture and weak trachytic textures of lath of plagioclase. Around these differences between the east side and the west side, it modelled the typical temperature gradient while the cooling processes of hot rocks and the east side, consequently, corresponds to exterior of the entire trachytic volume. The columnar joint of the Guksubawi has the value of landscape and scientific importance about the forming processes of the columnar joint of trachytic lava, and so supposed it has enough values to preserved as natural heritage.
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