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EVALUATING THE OUTCOMES OF LAPAROSCOPIC SURGERY FOR HERNIA REPAIR WITH PREPERITONEAL MESH PLACEMENT THROUGH AN ABDOMINAL APPROACH AT THE CONCLUSION OF THE PROCEDURE
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Abstract
Objective: Describe the clinical and paraclinical characteristics and evaluate the postoperative outcomes following laparoscopic transabdominal preperitoneal (TAPP) synthetic mesh repair for inguinal hernia. Subjects and methods: The study comprised 65 patients diagnosed with inguinal hernia who were treated with TAPP mesh repair at the Department of Gastrointestinal Surgery, Viet Tiep Friendship Hospital, from January 2025 to October 2025. Results: The mean patient age was 58.2±17.8 years. Males predominated with a male-to-female ratio of 57:8. A total of 53 patients (81.5%) were diagnosed with unilateral inguinal hernia, and 12 patients (18.5%) with bilateral inguinal hernia. The mean overall operative time was 53.5±13.7 minutes. The TAPP operative time was longer in the complicated (strangulated) hernia group than in the non-complicated group, with a statistically significant difference (p=0.019). Post-TAPP, patients experienced minimal pain, with a mean Visual Analog Scale (VAS) score of 3.5±0.6 at <24 hours, and pain intensity decreased progressively. The mean postoperative length of hospital stay was 4.4±1.3 days. Within one month post-operation, we recorded that 87.7% of patients had no complications, 7.7% (5 patients) developed seroma, 3.1% (2 patients) developed orchitis, and 1.5% (1 patient) experienced inguinal-scrotal paresthesia. The short-term Good outcome rate at one month post-surgery was 87.7% (57 patients). At six months, the Good outcome rate reached 100% (65 patients). Conclusion: Laparoscopic transabdominal preperitoneal (TAPP) mesh repair for inguinal hernia has several advantages and is the technique of choice for the treatment of inguinal hernia in adults.
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Keywords
Inguinal hernia, TAPP
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