[ 會員#20487 ] Y.S Tse
laparoscopy
病患者男 - 7歲
It is not understandable that laparoscopic hernia surgery with mesh is commended by the medical professionals for being much superior to open and mesh surgery, but the recurrence rate of laparoscopy surgery is double that of open surgery, for example, 2% vs 1%.. Why?
If the skills and experience of the surgeons are crucial, how can concerned patients get such information of the individual surgeons in order to alleviate some of their anxiety?
It is not understandable that laparoscopic hernia surgery with mesh is commended by the medical professionals for being much superior to open and mesh surgery, but the recurrence rate of laparoscopy surgery is double that of open surgery, for example, 2% vs 1%.. Why?
If the skills and experience of the surgeons are crucial, how can concerned patients get such information of the individual surgeons in order to alleviate some of their anxiety?
李泓暉醫生回覆: [ 10/26/2018 ]
Thank you for your question. I don't know where you got your data, but laparoscopic surgery for hernia carries the SAME risk of recurrence compared with traditional open surgery (0.5% according to literature).
Laparoscopic surgery wound is smaller than traditional surgery, and there may be less post operative pain, otherwise there is no significant difference in treatment outcome. Therefore, laparoscopic hernia surgery is not much superior to traditional surgery, and it is recommended only in recurrent or bilateral hernia cases.
You are correct that the skills and experience of surgeons are crucial, but there is no objective way to compare who's better than who. In general, hernia surgery is not complex, and most qualified surgery specialists in Hong Kong have enough experience.
Laparoscopic surgery wound is smaller than traditional surgery, and there may be less post operative pain, otherwise there is no significant difference in treatment outcome. Therefore, laparoscopic hernia surgery is not much superior to traditional surgery, and it is recommended only in recurrent or bilateral hernia cases.
You are correct that the skills and experience of surgeons are crucial, but there is no objective way to compare who's better than who. In general, hernia surgery is not complex, and most qualified surgery specialists in Hong Kong have enough experience.
LI YIU TONG : 包皮問題
病患者男 - 37歲 現在包皮不再勃起壯態時番開都會痛同好紅瘇，仲有番開時會出現小型裂痕，之前睇過醫生比.......irene : 水解冶療
病患者女 - 57歲 請問医生由第一次見医生後,最快隔几多天就可以做治療。及做完之後會否很痛及要休息多少.......poon : 盲腸炎
病患者男 - 45歲 是這樣的，本人8月10日確診闌尾炎在公立醫院8月11日醫生用三孔微創手術將闌尾炎加.......LI YIU TONG : 手術問題
病患者男 - 37歲 本人想問下現在年紀可以割包皮嗎？.......龍 : 甲狀腺
病患者男 - 29歲 因在私家醫院做左手術，是全切除， 要長期食藥同抽血，但醫療費用太貴了，可以換在看.......Nak : 經常突然暈嘔
病患者女 - 59歲 醫生們你們好，我媽咪由2年前左右開始隔半年或幾個月左右便會發生一次突發性暈，暈嘅時.......Joseph Chan : 纖維瘤係肝同胃之間
病患者男 想問一下如果有纖維瘤係肝同胃之間是否需要割掉？ 定因大細先需要割？.......Joseph Chan : 纖維瘤係肝同胃之間
病患者男 想問一下如果有纖維瘤係肝同胃之間是否需要割掉？ 定因大細先需要割？.......Yuen Tung Lee : 臭孤
病患者女 - 22歲 腋下有臭孤 想用微創手術可以嗎？在哪裡有豐富經驗的醫生介紹？.......Fun : 包皮問題
病患者男 - 38歲 本人小時候做過割包皮手術，最近發現當時兩個手術造口位都發炎流膿和有腫脹的情況，吃過.......
發出提問使用細則
致李泓暉醫生 提問
即時提問 ?
