RESULTS OF LAPAROSCOPIC TOTALLY EXTRAPERITONEAL USING 3-DIMENSION MESH TO TREAT BILATERAL INGUINAL HERNIA IN ADULTS

Nguyễn Văn Phước1,, Hà Văn Quyết2, Đào Quang Minh1, Vũ Ngọc Sơn3
1 Thanh Nhan Hospital
2 Haiphong University of Medicine and Pharmacy
3 Center for Craniofacial and Plastic Surgery, 108 Military Central Hospital

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Abstract

Objective: This study aimed to evaluate the results of laparoscopic totally extraperitoneal (TEP) using 3D mesh to treat bilateral inguinal hernia in adults. Methods: Descriptive study 60 patients with bilateral inguinal hernias undergoing laparoscopic TEP surgery using 3D mesh at Thanh Nhan Hospital from January 2017 to November 2020. Results: Of 60 patients, 63.3% of patients had a direct inguinal hernia and 36.7% indirect inguinal hernia. The average postoperative pain time was 2.2 days. Postoperative complications were 10.0%. Mean hospital stay in our study was 3.97 days. The mean length of follow-up was 21.8 months, one patient with chronic groin pain (1.8%). No case had inguinal hernia recurrence. Conclusion: TEP laparoscopic surgery using 3D mesh is a safe, feasible, and effective method in bilateral inguinal hernia in adults, with low rates of complications and recurrence.

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References

1. Markus Gass, Laura Rosellaet al (2012). Bilateral total extraperitoneal inguinal hernia repair (TEP) has outcomes similar to those for unilateral TEP: population-based analysis of prospective data of 6,505 patients. Surg Endosc. 26, 1364–1368.
2. Kalpesh H. Patel, Jayesh B. GohelBhumika J. Patel (2017). Managing bilateral inguinal hernia laparoscopically: is it gold standard? International Surgery Journal. 4 (1), 296 - 299.
3. Bell R. C. W., Price J. G. (2003). Laparoscopic inguinal hernia repair using an anatomically contoured three-dimensional mesh. Surg Endosc. 17, 1784-1788.
4. Tajamul Rashid, et al (2018). A comparative study of three-dimensional mesh (3D mesh) and polypropylene mesh in laparoscopic inguinal hernia repairs in adults. International Surgery Journal. 5(1), 174 - 180.
5. Mir I.S., Nafae A., Malyar A.et al (2015). An experience of short-term results of laparoscopic inguinal hernioplasty using 3D mesh in a developing country. International Journal of clinical medicine. 6, 64 - 69.
6. Trịnh Văn Thảo (2010). Nghiên cứu ứng dụng phẫu thuật nội soi đặt mảnh ghép hoàn toàn ngoài phúc mạc trong điều trị thoát vị bẹn. Luận án tiến sĩ. Học viện Quân Y.
7. Kockerling F., et al (2015). Bilateral and Unilateral Total Extraperitoneal Inguinal Hernia Repair (TEP) have Equivalent Early Outcomes: Analysis of 9395 Cases. World J Surg. 39(8), 1887-94.
8. Asuri Krishna, et al (2019). Totally Extraperitoneal Repair in Inguinal Hernia: More Than a Decade’s Experience at a Tertiary Care Hospital. Surg Laparosc Endosc Percutan Tech. 29, 247 - 251.