ĐÁNH GIÁ CÁC YẾU TỐ LIÊN QUAN ĐẾN BIẾN CHỨNG SAU PHẪU THUẬT NỘI SOI ĐẶT TẤM LƯỚI TRƯỚC PHÚC MẠC ĐƯỜNG VÀO Ổ BỤNG ĐIỀU TRỊ THOÁT VỊ BẸN

Abstract

Laparoscopic surgery with transabdominal preperitoneal mesh placement (TAPP) has been the primary choice for inguinal hernia treatment. This method has been approved to be safe with a low complication rate. This study was conducted to evaluate preoperative risk factors that may contribute to an escalation in immediate and distant complications in patients undergoing TAPP surgery. For patients undergoing TAPP surgery, the incidence of intraoperative complications was 3.8%, and the failure rate was 1.9%. Postoperative complications occurred in 10.5% of patients. Complications within the first month predominantly included fluid accumulation (15.4%), while pain and sensory disturbance in the abdominal region were observed in 26.9% during the follow-up of distant complications. Multivariate logistic regression analysis revealed that overweight patients (BMI > 24.9 kg/m2) were more likely to experience postoperative complications at one month (OR=3.2; p=0.03) and distant complications (OR=2.4; p=0.02) compared to the normal-weight group (BMI<24.9 kg/m2). Postoperative complications are generally mild and can often be managed conservatively, primarily involving pain and sensory disturbances in the abdominal region. The current study also highlights that overweight and obesity are risk factors contributing to an increased incidence of postoperative complications, emphasizing the need for thorough counseling regarding these risks for patients.