OUTCOMES OF TREATMENT OF BINARY INTERIOR HERNIA BY LAPAROSCOPIC SURGERY AT HANOI MEDICAL UNIVERSITY HOSPITAL

Quốc Hòa Trần , Xuân Yên Đậu , Ngọc Ánh Nguyễn

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Abstract

Inguinal hernia surgery is a common surgery in surgery. Since the advent of laparoscopic surgery and the application of artificial plates in the treatment of inguinal hernia, there have been changes in the past decade in the treatment of inguinal hernia. Laparoscopic surgery to place transperitoneal artificial panels TAPP (Trans-Abdominal Pre-Peritoneal) is an effective and safe treatment technique for patients in treating inguinal hernia and this method also has a training curve. Short training should be chosen by many surgeons. Materials: Retrospective, cross-sectional study of 35 patients with bilateral inguinal hernias undergoing TAPP surgery at Hanoi Medical University Hospital from January 2018 to October 2023. Results: Mean age 66.5 ± 14.18 years. Men account for 97%. 80% have risk factors such as abdominal surgery, chronic respiratory disease and prostate enlargement. Average surgery time is 1 hour 48 minutes ±31.8 minutes. The average postoperative hospital stay was 2.7 ± 1.8 days. Evaluation of early results after surgery was good in 77.4% of cases. After 1 month, 93.1% of cases were good, with no recurrence. Conclusion: TAPP is a safe and effective surgery that can be widely applied in glands.

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References

1. Lê Quốc Phong. 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, Trường Đại học Y Dược Huế. 2015.
2. Yang XF, Liu JL. Anatomy essentials for laparoscopic inguinal hernia repair. Ann Transl Med. 2016;4(19):372.
3. Pohnan. R., Rozwadowski. Advantages and disadvantages of transabdominal preperitoneal approach and total extraperitoneal. Mil. Med. Sci. Lett. 2013:vol. 82(1), pp. 25-31.
4. Yang XF, Liu JL. Laparoscopic repair of inguinal hernia in adults. Ann Transl Med. 2016;4(20):402.
5. Loureiro M de P, Trauczynski P, Claus C, Carvalho G, Bonin E, Cavazzola L. Totally Extraperitoneal Endoscopic Inguinal Hernia Repair Using Mini Instruments: Pushing the Boundaries of Minimally Invasive Hernia Surgery. 2013;2(3):0-0.
6. Van Den Heuvel B, Dwars BJ. Repeated laparoscopic treatment of recurrent inguinal hernias after previous posterior repair. Surg Endosc. 2013;27(3):795-800.
7. Mancini R, Pattaro G, Spaziani E. Laparoscopic trans-abdominal pre-peritoneal (TAPP) surgery for incarcerated inguinal hernia repair. Hernia. 2019;23(2):261-266.
8. Rivas JF, Molina APRF, Carmona JM. Transabdominal preperitoneal (TAPP) inguinal hernia repair: how we do it. Annals of Laparoscopic and Endoscopic Surgery. 2021;6(0).
9. Phan Đình Tuấn Dũng. Nghiên cứu ứng dụng phẫu thuật nội soi ngoài phúc mạc với tấm lưới nhân tạo 2D và 3D trong điều trị thoát vị bẹn trực tiếp. Luận án tiến sĩ Y học, Trường Đại học Y Dược Huế. 2017.
10. Tolver MA. Early clinical outcomes following laparoscopic inguinal hernia repair. Dan Med J. 2013;60(7):B4672.
11. Peitsch. A modified laparoscopic hernioplasty (TAPP) is the standard procedure for inguinal and femoral hernias: a retrospective 17-year analysis with 1,123 hernia repairs. Surgical Endoscopy. 2014;28(2):671-682.