EVALUATION OF THE RESULT OF LICHTENSTEIN HERNIORRHAPHY IN THE TREATMENT OF INGUINAL HERNIA IN ELDERLY AT VIET TIEP HOSPITAL

Văn Thương Phạm 1,2,, Văn Duyệt Phạm 1,3, Ngọc Sơn Vũ 4
1 HaiPhong University of Medicine and Pharmacy
2 Viet Tiep hospital
3 Viet tiep hospital
4 108 Military Central Hospital

Main Article Content

Abstract

Objective: Evaluating the result of Lichtenstein herniorrhaphy in the treatment of inguinal hernia in elderly at Viet Tiep Hospital. Method: A prospective descriptive study with 40 patients, over sixty years old, retrospective and prospective who were treated by Lichtenstein herniorrhaphy at Viet Tiep Hospital from 06/2020 to 06/2022. Results: 100% male patients, the mean age was 73,35, the eldest was 91. 95% patients had preoperative diagnosis primary inguinal hernia; ratio of right ingunal hernia was highger then left side (60% vs 40%). Mean operation time was 72,63 minutes. Most patients returned to normal work within 24 hours of surgery. The over rate of complications occurring early after surgery was 15%, including urinary retention, inguinal hematoma and scrotal fluid collection. 38/40 patients were followed up to 6 months after surgery, recording 1 patient with chronic inguinal pain responding to medical treatment, no case of recurrent inguinal hernia.

Article Details

References

1. Talha A.R., Shaaban A.,Ramadan R. (2015), Preperitoneal versus Lichtenstein tension-free hernioplasty for the treatment of bilateral inguinal hernia. Egypt J Surg. 34, pp. 79-84.
2. Tang Jianxiong, Hua Lei, Zhang Di, et al. (2002), The multiple epidemiologico studyof prevalence rate on groin hernia in the adults. Journal of Surgery Concepts & Practice. 6, pp. 421-422.
3. Gianetta E., de Cian F., Cuneo S., et al. (1997), Hernia repair in elderly patients. Br J Surg. 84(7), pp. 983-985.
4. Ngô Thế Hùng, (2013),Nghiên cứu áp dụng và kết quả điều trị phẫu thuật thoát vị bẹn theo phương pháp Lichtenstein tại bệnh viện tỉnh Thanh Hoá. Đại học y dược Hải Phòng.
5. Lê Quốc Phong, (2015),Đánh giá kết quả ứng dụng đặt tấm lưới nhân tạo theo phương pháp Lichtenstein điều trị thoát vị bẹn ở bệnh nhân từ 40 tuổi trở lên, Luận án tiến sĩ y học. Đại học Y Dược Huế.
6. Vương Thừa Đức (2004), Ứng dụng kỹ thuật Lichtenstein trong điều trị thoát vị bẹn. Tạp chí Y học TP Hồ Chí Minh. 8(1), pp. 478-486.
7. Hermádez-Granados P.,et al (2000), Tension-free hernioplasty in primary inguinal hernia. A series of 2054 cases. Hernia. 4, pp. 141-143.
8. Elorza Ortie J.L.,et al (2000), The ePTFE patch in inguinal hernia repair: one surgeon’s experience with 246 consecutive cases. Hernia. 4, pp. 95-98.