KẾT QUẢ BƯỚC ĐẦU ĐIỀU TRỊ THOÁT VỊ BẸN BẰNG PHẪU THUẬT NỘI SOI XUYÊN PHÚC MẠC TIẾP CẬN KHOANG TRƯỚC PHÚC MẠC (TAPP) TẠI BỆNH VIỆN CHỢ RẪY

Abstract

Background: Inguinal hernia is one of the commonest surgical diseases and there are many different techniques applied for treatment. The laparoscopic transabdominal preperitoneal (TAPP) repair allows a better view of the inguinal anatomy, evaluation of opposite side, is beneficial for recurrent hernia, resolve combined peritoneal diseases and has a short training time as well. Aim: To evaluate outcomes of the laparoscopic transabdominal preperitoneal for treatment inguinal hernia. Patients and methods: A prospective study was carried in 37 cases with inguinal hernia that have been treated by laparoscopic transabdominal preperitoneal (TAPP) repair in Cho Ray hospital from 06/2023 to 06/2024. Results: The mean age was 56.25 ± 19.06 years old. 83,8% were male. 86,5% of hernia were symptomatic, 13,5% of hernia were complicated. 24,3% of hernia were recurrence. 75,7% of hernia were unilateral, 8,1% were bilateral, 16,2% were occult. 91,9% would perform an unilateral TAPP repair, 8,1% bilateral TAPP repair. The mean operative time was 58.62 ± 13.05 minutes for unilateral TAPP, 85,67 ± 4,92 minutes for bilateral TAPP. The mean VAS 24h postoperative was 3.53 ± 0.56. Regarding postoperative complications, inguinal seroma was detected in 21,6% of cases. The rate of recurrence after surgery was 2.7% in one case. The mean postoperative hospital stay was 2.41 ± 1.25 days. Conclusion: TAPP is a safe and feasible procedure, allows evaluation of opposite side and resolve combined peritoneal diseases.