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Date Published: 21/08/2021
Abstract Views: 314
Views PDF: 177
DOI: https://doi.org/10.51298/vmj.v504i2.903
Issue
Vol. 504 No. 2 (2021)
Section
Các bài báo
How to Cite
Văn Phước, N. ., Văn Quyết, H. ., Quang Minh, Đào ., & Ngọc Sơn, V. . (2021). PATHOLOGICAL CHARACTERISTICS AND APPLICATION OF LAPAROSCOPIC TOTALLY EXTRAPERITONEAL USING 3D MESH TO TREAT BILATERAL INGUINAL HERNIA IN ADULTS. Vietnam Medical Journal, 504(2). https://doi.org/10.51298/vmj.v504i2.903

PATHOLOGICAL CHARACTERISTICS AND APPLICATION OF LAPAROSCOPIC TOTALLY EXTRAPERITONEAL USING 3D MESH TO TREAT BILATERAL INGUINAL HERNIA IN ADULTS

Nguyễn Văn Phước1,, Hà Văn Quyết2, Đào Quang Minh1, Vũ Ngọc Sơn3
1 Thanh Nhàn Hospital
2 Department of Surgery, Haiphong University of Medicine and Pharmacy
3 enter for Craniofacial and Plastic Surgery, 108 Military Central Hospital

Main Article Content

Abstract

Objective: This study aimed to describe pathological characteristics and application of laparoscopic totally extraperitoneal (TEP) using 3D mesh to treat bilateral inguinal hernia in adults. Methods: Descriptive study 60 patients with bilateral inguinal hernias undergoing laparoscopic TEP surgery using 3D mesh at Thanh Nhan Hospital from January 2017 to November 2020. Results: All the patients were male, mean age were 51.0 years. Direct hernias were more commons comprising of 63.3%. Classification according to Nyhus type I 3.3%, type II 26.7%, class IIIA 63.3% and IIIB 6.7%. 91.7% preperitoneal cavity were dissection with finger and CO2. 63.3% of the hernia sac was pushed into the abdomen. The small 3D mesh was used in most case (80%), 1 case (1,7%) was stitched fixation mesh. Intraoperative complications were 15%. 1.7% must be additional trocar. The average mesh put time was 21.1 minutes. The mean operative time was 74.9 minutes. Conclusion: TEP laparoscopic surgery using 3D mesh is a safe, feasible, and effective method in bilateral inguinal hernia in adults.

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References

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