KẾT QUẢ PHẪU THUẬT NỘI SOI ĐƯỜNG HOÀN TOÀN TRƯỚC PHÚC MẠC ĐIỀU TRỊ THOÁT VỊ BẸN Ở BỆNH NHÂN CÓ BỆNH TIM MẠCH

Abstract

Objectives: To evaluate the outcomes of inguinal hernia repair using the totally extraperitoneal (TEP) laparoscopic approach in patients with cardiovascular diseases at the Department of Urology and Andrology, E Hospital, during the period 2021–2022. Subjects and methods: A descriptive observational study on 50 patients with cardiovascular diseases who underwent inguinal hernia repair via the TEP laparoscopic approach at the Department of Urology and Andrology, E Hospital, from January 2021 to December 2022. Results: A total of 50 patients were included, the mean age of the patients was 70.2 years. All patients (100%) were male. Regarding medical history, 96% had cardiovascular conditions, including 82% with hypertension, 14% with arrhythmias, 16% with coronary artery disease, 2% with pacemaker implantation, 4% with heart failure, 2% with valvular heart disease, 2% with atrial septal defect, and 4% with aortic aneurysm/aortic replacement. Five patients were on anticoagulant therapy, all using antiplatelet agents. The distribution of hernia sides included 40% on the right side, 44% on the left side, and 16% bilateral; 63.79% were direct hernias, while 36.21% were indirect. Fourteen cases involved concurrent procedures with inguinal hernia repair. The average surgical time was 91 minutes (range: 30–250 minutes). During surgery, one case of uncontrollable hypertension (2%) and one case of inferior epigastric artery injury (2%) were reported. Postoperative hospital stay averaged 4.22 days. Early postoperative complications included fever, urinary retention, wound seroma (8%), and one case of postoperative angina (2%). Conclutions: Laparoscopic totally extraperitoneal (TEP) repair for inguinal hernia is a safe and effective surgical option for patients with stable, pretreated cardiovascular disease.