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[Music] Hospital Director, I heard there are differences in how this artificial mesh is inserted into the body. Representative examples are incision surgery and laparoscopic surgery, so how are they different? Hernia surgery with artificial mesh is a surgery where the skin is incised, a hole is made in the muscle, and the artificial mesh is covered there. Laparoscopic hernia surgery is a surgery where a hole is made in the abdomen using laparoscopic instruments, and while looking at the muscle from inside the abdomen, the artificial mesh is attached there. Although the approach is different, it is the same surgery in that a large artificial mesh cloth of 15 * 10cm is applied. >> Yes. This laparoscopic surgery is known to have small scars, so many people tend to think of it lightly. >> Yes, that's right. Many people call laparoscopic hernia surgery minimally invasive surgery. They say that only about three small holes need to be made in the skin, and while that part is true, to place the artificial mesh inside the abdomen, a large wound of at least 15 * 10cm must be made, and in that process, there are problems such as bleeding or nerve damage. Therefore, claiming that laparoscopic hernia surgery is minimally invasive surgery is largely different from the facts. >> Yes. Then, Hospital Director, is robot surgery also a laparoscopic method? Yes, yes, that's right. Current robot hernia surgery also uses artificial mesh, so it is a type of artificial mesh hernia surgery. The only difference is that a robot surgical system is used instead of laparoscopic instruments. However, robot surgery itself has many advantages. First, the image can be magnified about ten times, so it has the advantage of being able to perform surgery while preserving delicate structures such as nerves and blood vessels without causing damage. It also has the advantage of being able to secure a good view of nooks and crannies that are not visible to the naked eye. Therefore, at Gippeun Hospital, we are currently developing a robot non-artificial mesh hernia surgery method that utilizes the advantages of robot surgery while preventing the side effects of artificial mesh. >> The important point is that although laparoscopic surgery appears minimally invasive from the outside, a large artificial mesh of at least 15 * 10cm must be installed inside the body, so the actual surgical scope is by no means small, and there is a possibility of damage to internal tissues in this process. Even if the scar from laparoscopic surgery looks small on the outside, the actual surgical scope inside the body is much wider. From the patient's perspective, it is understandable to be worried. Thanks to the Hospital Director's explanation, the differences between the two surgeries have become clear. Now, let's reconfirm the key points that viewers should not miss about today's content through Q&A. First question. Is laparoscopic surgery always a better surgery than incision surgery? Not necessarily. As I mentioned, laparoscopic surgery has small scars on the outside, but the surgical field inside is much wider, so there are cases where the side effects are greater. However, the difference is not that significant. The important thing is not whether it is done laparoscopically or by incision, but whether artificial mesh is used or not. I hope you remember this point. >> Yes. Then, let's move on to the second question. Does robot hernia surgery not use artificial mesh? No. Robot hernia surgery is also a type of artificial mesh hernia surgery that uses artificial mesh. Of course, robot surgery has various advantages, such as being able to perform surgery more precisely and more safely. Because of these advantages, it has many good points compared to laparoscopic hernia surgery, but there is still the limitation that artificial mesh must be used. Therefore, at Gippeun Hospital, we are currently researching and developing a robot non-artificial mesh hernia surgery method that maximizes the advantages of robot surgery while preventing various problems caused by artificial mesh, and we plan to perform surgery with that surgical method soon. >> Yes. Then, the last question. Besides the size of the scar, what is the important difference between incision surgery and laparoscopic surgery? Laparoscopic surgery requires the use of artificial mesh. Incision surgery can be performed with or without artificial mesh. Another difference is that laparoscopic hernia surgery always requires general anesthesia. However, incision surgery can be performed with general anesthesia, and when the surgical scar is small, it can also be performed with local anesthesia. Therefore, to avoid these side effects of artificial mesh, non-artificial mesh surgery is currently only possible through incision surgery. Also, for elderly patients or those with underlying diseases who are at risk with general anesthesia, isn't it? For such patients, it is recommended to have surgery using the incision surgery method to have surgery under local anesthesia. >> Yes. Thanks to the Hospital Director's detailed explanation, the differences between the two surgeries have become clear. Next time, we will learn about chronic pain, which is the biggest problem caused by artificial mesh. >> At Gippeun Hospital, we have developed and are performing the Kangri-Repair hernia surgery, which does not use artificial mesh, to prevent side effects of artificial mesh. Our Kangri-Repair hernia surgery is a new hernia surgical method that did not exist before, with a recurrence rate of 0.1 to 0.2% and post-operative discomfort of less than 5% after 2 years of surgery. Compared to artificial mesh hernia surgery, which reports a recurrence rate of at least 5% and a frequency of side effects of about 20%, it shows very excellent results. If you visit Gippeun Hospital, we will do our best to ensure that you achieve the best results with the new non-artificial mesh hernia surgical method we have developed. Thank you. [Music]