EARLY OUTCOMES OF ENDOSCOPIC RETROMUSCULAR PROSTHETIC MESH REPAIR OF VENTRAL HERNIA WITH EXTENDED-VIEW TOTALLY EXTRAPERITONEAL APPROACH

Anh Vũ Đoàn, Văn Lâm Nguyễn, Văn Năng Phạm

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Abstract

Backgorund: The placement of prosthetic mesh in the retromuscular space of the abdominal wall using endoscopic totally extraperitoneal (eTEP) surgery is a technique being evaluated for its superior advantages compared to traditional methods. Objective: Initial results of eTEP surgery at Can Tho General Hospital. Patients and Methods: A prospective study of patients with primary and incisional ventral hernias treated with eTEP at Can Tho City General Hospital from May 2023 to December 2024. Results: 41 cases of ventral hernia, including 26 primary hernias and 15 incisional hernias. Male 29.27%, mean age 57.56, mean BMI 24.9. Mean hernia defect area 10.93 cm². Mean mesh coverage area 235.82 cm². Mean operative time 126.1 minutes. Pain level on the 1st postoperative day VAS = 4.2 (2-7). Mean postoperative stay 4.17 days. No cases converted to open surgery. Early complications: 5 cases of seroma. Recurrence rate 1 case (2.44%) with a follow-up of 15.66 months (6-24 months). Conclusions: eTEP prosthetic mesh placement is a safe and effective treatment method for abdominal hernia

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References

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