KẾT QUẢ BƯỚC ĐẦU ĐIỀU TRỊ THOÁT VỊ BẸN BẰNG PHẪU THUẬT NỘI SOI ĐẶT MẢNH GHÉP NGOÀI PHÚC MẠC TẠI BỆNH VIỆN ĐẠI HỌC NAM CẦN THƠ

Abstract

Objective: To evaluate the early outcomes of totally extraperitoneal laparoscopic repair (TEP) for inguinal hernia at Nam Can Tho University Medical Center. Methods: A cross-sectional descriptive study was conducted on 34 patients with 43 inguinal hernias treated using the TEP technique. Assessed variables included clinical characteristics, hernia classification, operative time, intraoperative events, early postoperative complications, postoperative pain and short-term follow-up outcomes. Results: The mean age was 59.8 ± 15.7 years, with males accounting for 97.1%. Unilateral hernias accounted for 73.5%, bilateral hernias for 26.5%, with the right side being the most common (44.1%). Direct hernias comprised 48.8%, indirect hernias 27.9%, and mixed hernias 23.3%. The mean operative time was 79.0 ± 21.5 minutes. Peritoneal tears occurred in 18.6% of cases, with no conversions to open surgery. Mesh fixation was performed in 30.2%. The mean VAS pain score at 48 hours was 1.56 ± 0.5, and the mean postoperative hospital stay was 1.58 ± 0.5 days. Early postoperative complications were observed in 16.3%, mainly seroma (11.6%). At 1-month follow-up, 90.7% of patients had no complications, with no mesh infections or hernia recurrences, and the overall patient satisfaction rate was 97%. Conclusion: Totally extraperitoneal laparoscopic repair is a safe and effective treatment for inguinal hernia, providing low complication rates, mild postoperative pain, and short hospital stay in the early postoperative period.