Laparoscopic Hernia Repair Using the Totally Extraperitoneal Procedure with Mesh: A Retrospective Study at a Tertiary Care Hospital in Vietnam.

IF 0.7 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Nigerian Journal of Clinical Practice Pub Date : 2025-07-01 Epub Date: 2025-07-28 DOI:10.4103/njcp.njcp_255_24

T Q Son, T M Hung, T H Hoc, N P Anh, D T Anh, V D Vinh, V Q Huy, Vtp Anh

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引用次数: 0

Abstract

Background: In the last 30 years, two revolutions have occurred in inguinal hernia repair surgery. In 1989, Liechtenstein launched tension-free hernia treatment, and in the early 1990s, laparoscopic surgery was used to treat inguinal hernias.

Aim: This study evaluated the safety and efficacy of laparoscopic totally extraperitoneal (TEP) inguinal and femoral hernia repair.

Methods: This retrospective study of 182 patients treated using the TEP technique at Bachmai Hospital from January 2020 to December 2023 was done. Patient demographic data, peri-operative, and outpatient follow-up were studied.

Results: The study examined 207 hernia repairs. Patients were 99.4% male. The median age was 59 (18-85) of the 167 primary hernia patients. The average operation time for bilateral inguinal hernias was longer than for unilateral (86.3 vs 53.6 minutes). The conversion rates to transabdominal preperitoneal (TAPP) repair and open surgery were 1.1% and 0.55%, respectively. Epigastric artery injury, port site infection, hematoma, and seroma were 1.09%, 1.6%, 0.55%, and 10.9%, respectively. The average hospital stay was 3.2 days (1-8 days). Two patients who developed recurrence were dealt with open mesh repair.

Conclusion: The TEP method is safe, feasible, and effective for treating inguinal hernias.

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全腹膜外补片腹腔镜疝修补：越南一家三级医院的回顾性研究

背景：在过去的30年里，腹股沟疝修补手术发生了两次革命。1989年，列支敦士登推出无张力疝治疗，90年代初，腹腔镜手术被用于治疗腹股沟疝。目的：评价腹腔镜下全腹膜外疝（TEP）修补腹股沟股疝的安全性和有效性。方法：对2020年1月至2023年12月在巴赫迈医院使用TEP技术治疗的182例患者进行回顾性研究。研究了患者人口统计资料、围手术期和门诊随访情况。结果：本研究检查了207例疝修补。患者中男性占99.4%。167例原发性疝患者的中位年龄为59岁（18-85岁）。双侧腹股沟疝的平均手术时间比单侧腹股沟疝长（86.3分钟比53.6分钟）。经腹腹膜前修复（TAPP）和开放手术的转换率分别为1.1%和0.55%。腹壁动脉损伤、端口感染、血肿、血肿分别为1.09%、1.6%、0.55%、10.9%。平均住院时间3.2天（1 ~ 8天）。2例复发患者行开放式补片修复。结论：TEP法治疗腹股沟疝安全、可行、有效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nigerian Journal of Clinical Practice MEDICINE, GENERAL & INTERNAL-

CiteScore

1.40

自引率

0.00%

发文量

275

审稿时长

4-8 weeks

期刊介绍： The Nigerian Journal of Clinical Practice is a Monthly peer-reviewed international journal published by the Medical and Dental Consultants’ Association of Nigeria. The journal’s full text is available online at www.njcponline.com. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository. The journal makes a token charge for submission, processing and publication of manuscripts including color reproduction of photographs.