KẾT QUẢ CỦA PHẪU THUẬT NỘI SOI ĐẶT LƯỚI TRONG PHÚC MẠC (IPOM VÀ IPOM PLUS) ĐIỀU TRỊ THOÁT VỊ THÀNH BỤNG TẠI BỆNH VIỆN ĐA KHOA THÀNH PHỐ CẦN THƠ

Abstract

Objective: To evaluate the outcomes of laparoscopic intraperitoneal onlay mesh (IPOM) repair for abdominal wall hernias at Can Tho General Hospital. Subjects and Methods: A retrospective descriptive study was conducted on 69 patients who underwent laparoscopic IPOM repair at the General Surgery Department, Can Tho General Hospital, from December 2019 to December 2024. Results: The mean age was 61.5 ± 11.4 years. Incisional hernias accounted for 65.2%. The average defect size was 11.7 ± 7.9 cm². The laparoscopic repair success rate was 100%. Intraoperative complications occurred in 2 patients (2.9%). The mean operative time was 86.4 ± 27.1 minutes. Early postoperative complications included subcutaneous seroma in 14 patients (20.3%). One patient (1.5%) required reoperation due to suture rupture. Postoperative pain (VAS) scores were 5.7 (3–7) at 24 hours, 4.1 (2–6) at 48 hours, and 1.7 (1–3) at discharge. The average hospital stay was 5.2 days. Mid-term outcomes included 1 case of abdominal wall paresthesia, 1 colonic fistula, and 1 recurrence. No cases of chronic pain or mesh infection were recorded. Conclusion: The IPOM technique is a safe and effective approach for abdominal wall hernia repair, with a high success rate and low complication rate. Further studies with larger sample sizes and longer follow-up are needed to assess long-term outcomes.