ĐÁNH GIÁ CÁC YẾU TỐ ẢNH HƯỞNG ĐẾN TIÊN LƯỢNG GẦN SAU PHẪU THUẬT NỘI SOI ĐẶT TẤM LƯỚI NHÂN TẠO ĐIỀU TRỊ THOÁT VỊ BẸN Ở NAM GIỚI TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

Inguinal hernia is a pathological condition when abdominal organs, usually the omentum or intestines, pass through the inguinal canal or weak points of the abdominal wall under the skin or scrotum. Laparoscopic surgery to place artificial mesh in front of the peritoneum is emerging as the gold standard in the treatment of inguinal hernia, in which the two most commonly used techniques are TAPP (Transabdominal Preperitoneal) and TEP (TransExtraPeritoneal). Many separate studies on these two methods have been reported, but currently in Vietnam there are not many studies comparing the correlation between the two surgeries. Therefore, we conducted a study on 138 men with inguinal hernias who were operated on by either TAPP or TEP methods to evaluate treatment results, compare surgical results between the two methods and simultaneously evaluate the results of treatment. Evaluate factors affecting immediate prognosis after surgery. The study showed that the rate of complications during and immediately after surgery was 2.9% and 8.0%, respectively, and mainly occurred in the TAPP surgery group (p<0.01), however complications (seroma, inguinoscrotal pain, recurrence) 1 month after surgery was more common in patients with TEP surgery (TEP 44.1%, TAPP 21.2%, p=0.01). Prognosis near surgery based on factors in the logistic regression analysis table with the dependent endpoint being complications after 1 month found that after TEP surgery this condition increased to 5.9 times compared to TAPP surgery (OR= 5.9, p<0.01), at the same time, increasing surgery time to 1 minute increases the risk of complications by 1% (OR=1.01, p=0.02).