KẾT QUẢ PHẪU THUẬT ĐIỀU TRỊ THOÁT VỊ BẸN NGHẸT TRẺ EM TẠI BỆNH VIỆN TRUNG ƯƠNG THÁI NGUYÊN

Abstract

Objective: To evaluate the surgical outcomes of incarcerated inguinal hernia in children at the Department of Pediatric Surgery, Thai Nguyen Central Hospital.

Methods: A descriptive longitudinal study with combined retrospective and prospective data collection was conducted in 55 children under 16 years of age who were diagnosed with incarcerated inguinal hernia and underwent emergency surgery at the Department of Pediatric Surgery, Thai Nguyen Central Hospital, from March 2024 to June 2026.

Results: The mean age of the patients was 20.94 ± 26.63 months, with a male-to-female ratio of 4:1. A history of ipsilateral inguinal hernia was present in 83.6% of patients, and 56.4% presented to the hospital within 6 hours of symptom onset. Bowel with omentum was the most common hernia content, accounting for 80.0% of cases. Intraoperatively, 60.0% of the herniated organs were considered suspicious for necrosis. Organ preservation was achieved in 98.2% of patients; only one patient (1.8%) required resection of a necrotic organ, and no intraoperative complications were recorded. The mean operative time was 40.45 ± 11.27 minutes, the mean postoperative recovery time was 1.45 ± 0.69 days, and the mean postoperative length of hospital stay was 3.38 ± 1.46 days. Good outcomes were observed in 76.4% of patients at discharge, increasing to 89.1% at 1 month and 94.5% at 3 months of follow-up. The main early postoperative complications included surgical-site hematoma (27.3%), scrotal/labial swelling (45.5%), and surgical-site infection (7.3%).

Conclusion: Emergency surgery for incarcerated inguinal hernia in children achieved a high rate of organ preservation, with no intraoperative complications and favorable early outcomes that continued to improve during follow-up.