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Published: 2023-06-20
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DOI: https://doi.org/10.52852/tcncyh.v167i6.1686
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Vol. 167 No. 6 (2023)
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Hà, V. N., Khánh, L. V., & Sơn, T. Q. (2023). 18. Outcomes of laparoscopic trans-abdominal pre-peritoneal surgery for recurrent inguinal hernia: A retrospective study of 31 cases. Journal of Medical Research, 167(6), 148-156. https://doi.org/10.52852/tcncyh.v167i6.1686

18. Outcomes of laparoscopic trans-abdominal pre-peritoneal surgery for recurrent inguinal hernia: A retrospective study of 31 cases

Vu Ngoc Ha, Le Viet Khanh, Tran Que Son

Main Article Content

Abstract

Laparoscopic surgery is replacing open surgery  to treat inguinal hernia with various advantageous characteristics such as negative tension, fast recovery, short hospital stay, and less recurrence. However, the treatment of recurrent inguinal hernias is controversial.  This study evaluated the efficacy of laparoscopic trans-abdominal pre-peritoneal (TAPP) surgery for recurrent inguinal hernias. We performed a retrospective study of 31 patients undergoing surgery at Viet Duc Hospital from January 2018 to December 2022. All participants were male, with  a mean of 63.3 years old (ranging from 25 to 84 years old). ASA scores I, II, and III were 45.1%, 45.1%, and 9.8%, respectively; the history of Bassini and Lichtenstein method was 87.1% and 12.9%, respectively. The proportion of recurrent unilateral hernias and bilateral hernias were 83.8% and 16.2%, respectively. The hernia hole diameter of less than 3.5cm was 100%. There were no case requiring conversion to open surgery with an operating time  of 78.3 ± 12.2 minutes (range 45 - 157 minutes); Mild, severe, and  miniscule postoperative pain was 87.1%, 9.7%, and 3.2%, respectively. The hospital stay was 4.7 days, (range 3 - 9 days). Good, moderate and average results were 87.1%, 9.7%, 3.2% and without morbidity, respectively. Conclusion: The TAPP technique appears safe and effective, associated with lower short-term and long-term complications in treating recurrent inguinal hernias.

Article Details

Keywords

Hernia, Inguinal hernia, Re-repair/recurrence, trans-abdominal pre-peritoneal repair (TAPP), Laparoscopic repair

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