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소아 잠복고환

담소유외과는 진정한 외과전문병원 리더가 되기 위해 가장 먼저 도전하고 노력합니다.

잠복고환 복강경수술의 경과?

잠복고환(복강경수술)-국내유일 복강경 수술집도/ 흉터가 안보임 재발 없음/ 당일 진료 수술&퇴원 원스톱 진료 / 30분 정도의 짧은 수술시간 / 회복 빠름 수술 후 1시간 후 수유

By making a reservation in advance, young patients with cryptorchidism can get consultation, undergo surgery, and discharge on the same day. Patients do not have to return to the hospital for additional sterilization.

잠복고환 복강경수술의 흉터는?

We would like to explain about one of the prominent advantages of laparoscopic orchiopexy. Laparoscopic orchiopexy involves three openings to perform surgery. Depending on the surgeon’s experience, surgical scar may be visible or not visible.

These images were taken right after the laparoscopic orchiopexy at our hospital.

  • 이미지-담소유외과 잠복고환 복강경 수술흉터
  • 이미지-담소유외과 소아 잠복고환 복강경 수술

Surgical scar is invisible. Reducing the amount of scar is not the purpose of surgeries. The priorities of surgeries should be accuracy, safety, and preventing recurrence.

현재 소아 복강경 수술에 대한 경험은 제가 압도적으로 가장 많습니다.

이미지-타병원 잠복고환 수술 후 흉터

Above images are young patients with surgical scars after undergoing orchiopexy and hernia repair at other hospitals. Re-operation (laparoscopic surgery) was performed due to the recurrent hernia. Only scar from the previous surgery is showing. Surgical scar from laparoscopic hernia repair cannot be seen.

If larposcopic surgery was performed in the first place, simultaneous orchiopexy and hernia repair would have been conducted, preventing recurrence and leaving no surgical scars.

담소유외과 소아 잠복고환 복강경 수술은?

Pediatric surgery is hard to perform when operating room is not equipped with the right instruments. However, the most important factor is the doctor’s clinical experience and surgery skills. At Dam So Yu Hospital, we have two pediatric anesthesia specialists, taking charge of anesthesia.

담소유외과 소아 잠복고환수술
  • 마취과전문의/과장 송은- 진료과목: 마취과, 학력: 부산대학교 의과대학 졸업, 경력: 서울대학병원 마취통증의학과 전공의/서울대병원 마취통증학과 전문의/서울아산병원 마취통증학과 전임의, 학회활동: 대한통증학회 TPI 과정 이수/대한마취과학회 정회원/대한소아마취학회 회원/대한통증학회 정회원
  • 마취과전문의/과장 장연희- 진료과목: 마취과, 학력: 연세대학교 의과대학 졸업, 경력: 세브란스병원 마취통증의학과 전공의/세브란스병원 마취통증의학과 전문의, 학회활동: 대한마취과학회 정회원/대한통증학회 정회원/대한척추통증학회 정회원/대한통증연구학회 정회원/대한통증학회 TPI 과정이수
그리고 담소유외과는 무균시스템으로 된 전신마취 수술실이 3곳입니다.
이미지-6층 제1 수술실 입니다./ 담소유외과 제1 무균 수술실
이미지-6층 제2 수술실 입니다./ 담소유외과 제2 무균 수술실
이미지-6층 제3 수술실 입니다./ 담소유외과 제3 무균 수술실

소아 전문마취의가 상주, 수면/전신 마취

  • Dam So Yu Hospital specializes in surgical operations not cosmetic surgeries
  • Dam So Yu Hospital specializes in surgical operation to a wide range of patients from newborn babies to adolescent under 18 years old. Inguinal hernia and other surgeries are conducted using laparoscopic surgical method.
  • When it comes to pediatric surgeries, it is important that surgeries are completely asepsis.
    This is why we use disposable sterilization wrap.
  • When conducting clean surgery, antibiotics are not injected. It’s because surgery is carried out completely asepsis. We do not inject antibiotics before carrying out surgery and no inflammation is caused.

이미지-6층 중앙 공급실 입니다.

When it comes to pediatric surgeries, it is important that surgeries are completely asepsis.
This is why we use disposable sterilization wrap.
When conducting clean surgery, antibiotics are not injected. It’s because surgery is carried out completely asepsis.
We do not inject antibiotics before carrying out surgery and no inflammation is caused.

담소유외과 무균 소독 시스템
저온 플라즈마 멸균소독기
EO GAS 멸균소독기
스팀 멸균소독기
스팀 멸균소독기

소아전용 수술기구 완비

When it comes to pediatric hernia laparoscopic surgery, the laparoscopic system is very important.

담소유외과 잠복고환수술 복강경시스템
이미지 - Stryker 1288 HD 2.9mm Camera
Dam So Yu Hospital is equipped with 1288 HD system from Stryker’s.
3 years ago, we had 1188 HD system, but now we use 1288 HD system for high-resolution display.
For pediatric surgeries, using medical instruments for adult can be very dangerous. We use 2.7mm medical instrument for children.
이미지 - 2.7mm Karl-storz instrument/2.7mm STRYKER instrument
For patients’ health and safety, we have two experienced anesthesiologists, with wide clinical experience.
For anesthesia equipment, we use German based company Dräger.
All three general anesthesia operating rooms are equipped with Dräger’s FABLUS PLUS.
담소유외과 마취기구(DRAGER FABIUS PLUS)
Some hospital put patients under sedation despite the fact that these hospitals are not equipped with or don’t possess general anesthesia equipment. Ideally, for safety reasons, hospitals need to be equipped with general anesthesia equipment even when putting patients under sedation.
Our hospital has three aseptic operating rooms, equipped for general anesthesia.
이미지 - 마취기구
가온가습 마취회로(Warming and humidifying tube)
By Installing special electronic device and humidifier inside the manifold of the breathing duct, it maintains constant temperature and humidity of the anesthetic has that’s being provided to patient going under anesthesia. This tube helps prevent postoperative pulmonary complications.
사진-가온가습 마취회로
마취 중 각성상태 측정(BIS)
Bispectral index is used to monitor, and observe the depth of anesthesia, and the patients’ vigilance can be controlled while putting patient under anesthesia. However, it is not widely used yet since it is not covered by health insurance.
사진-마취 중 각성상태 측정
피부접착제(SurgiSeal>
Seals the opening where the laparoscopic instrument was inserted with medical adhesive for skin. Therefore, patients can shower on the same day of surgery.
이미지 - 피부 접착제
유착방지제(Protad)
We apply Protad on the suture area in case of intestine adhesion.
사진-유착방지제 도포 전/후

왜! 소아탈장, 음낭수종, 맘모톰, 복강경수술은 담소유외과에서 해야할까?

이미지 - 수술장면

수술에서 가장 중요한 점은 환자의 불편함을 없애는 목적이 최우선이어야 합니다.

수술 이후에 재발이 되면 안됩니다.

반드시 정확하고 안전한 수술로 치료해야 합니다. 그 다음으로 흉터가 중요합니다. 적게 상처를 내서 완전한 수술이 가능하면 최상입니다. 저희 병원에서 시행하는 소아탈장 복강경수술은 흉터가 안보이게 됩니다.

소아 잠복고환이란?

  • 이미지-오른쪽에 고환이 없다.

The chance of having cryptorchidism, undescended testis is higher if the child is premature or under-weight. After 3 months of birth, testosterone of blood concentration rapidly increases. During this period, the testicle descended. When the child turns the age of 1, the percentage of testicle descend is about 0.8% and during puberty and adulthood, change does not occur. It simply means that the natural stage of descendent will no longer occur after a certain period.

The deeper testicle is placed in the abdominal, the more damage it does. After the age of one year and six months, a lot of changes in the cell happen. This is why the treatment should be done around the age of one before the body starts going through changes. If cryptorchidism or undescended testicle does not get treated, it could result in sterility and psychological problems may occur after the patient is grown up.

It also increase the chance of having testicular cancer so surgical repair to descend the testis is crucial.

잠복고환의 치료는?

It is considered that best time to get surgical treatment is before and after the age of one. If it is accompanied by hernia then surgical repair needs to be done as soon as possible. Dam So Yu Hospital is the only hospital in Korea that performs laparoscopic orchiopexy.

소아 잠복고환의 수술
이미지-탈장구멍
담소유외과 소아 잠복고환 수술 전 후 초음파
소아 잠복고환 수술 전 초음파에서 고환 하나만 보이는 모습
소아 잠복고환 복강경수술
소아 잠복고환 수술 전
담소유외과 소아 잠복고환 복강경수술
  • 배안에 위치한 잠복고환
  • 오른쪽 잠복고환
  • 오른쪽 잠복고환
Most orchiopexy is conducted by surgically opening the abdominal. The incision areas for orchiopexy and hernia repair are the same because the descended testis is located inside the abdominal or stuck in the hernia opening. This is why surgically descending the testicle to scrotum and closing up the passage needs to be performed simultaneously.
담소유외과 소아 잠복고환 복강경수술
정삭과 혈관
The most important part of orchiopexy is to exfoliate and loosen up vas deferens and the cord to prevent recurrence of testicle torsion. Vas deferens transport, and move sperm. The cord, on the other hand, supplies blood to the testicle. This is why cryptorchidism needs to be performed by an experienced surgeon.

잠복고환 복강경수술의 수술시간?

For pediatric surgery specialists, orchiopexy is not a difficult surgery to perform. The surgery procedures consist of exfoliating the testicle artery, and the passage that sperm transport then descending the testicle to scrotum. This is why surgery only takes around 25~30 minutes.

학회발표 학회발표