Articles Vol. 65 No. CĐ 4 - Hội Y học Giới tính Việt Nam 30/05/2024

25. ASSESSMENT OF RESULTS AND FACTORS ASSOCIATED WITH COMPLICATIONS OF LAPAROSCOPIC TOTALLY EXTRA-PERITONEAL (TEP) INGUINAL HERNIA REPAIR IN HANOI MEDICAL UNIVERSITY HOSPITAL, 2020-2023

Nguyen Hoai Bac1,2,3,4, Doan Tien Dương5,6, Hoang Van Chuc5,6, Dinh Huu Viet7,8
1 Hanoi Medical University
2 Hanoi Medical University Hospital
3 Trường Đại học Y Hà Nội
4 Bệnh viện Đại học Y Hà Nội
5 Bac Giang Provincial General Hospital
6 Bệnh viện đa khoa tỉnh Bắc Giang
7 Hanoi Andrology and Fertility Hospital
8 Bệnh viện Nam học và Hiếm muộn Hà Nội
Corresponding author: nguyenhoaibac@hmu.edu.vn
DOI: 10.52163/yhc.v65iCD4.1174
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Keywords
Inguinal hernia, TEP, mesh placement, totally extraperitoneal.
Abstract

 Overview: Laparoscopic surgery placing a completely preperitoneal mesh [Total Extra-Peritoneal (TEP) Inguinal Hernia Repair] has been applied for a long time and has become an important technique in the treatment of inguinal hernia. Notwithstanding being a safe method with a low complication rate, there are few studies evaluating factors associated with the risk of near and far complications after surgery.

Aim: To evaluate treatment results and risk factors that increase complications after surgery.

Methods: A retrospective study on 30 patients undergoing inguinal hernia surgery using the TEP technique was conducted at Hanoi Medical University Hospital. All subjects participating in the study were clinically examined with ultrasound 1 month later and had follow-up results at least 3 months after surgery.

Results: No patient had complications during surgery. Early postoperative complications encountered were mainly inguinal and scrotal pain (26.7%) and fluid collection (10%). The most common distant complication was scrotal paresthesia, seen in 36.7% of patients. Multivariable logistic regression model showed that patients with overweight status (BMI > 24.9 kg/m2) were often at risk of complications after TEP surgery at 1 month (OR = 2.3; p = 0.04) and higher long-term complications (OR = 2.2; p = 0.04). In addition, proximal complications increased the risk of distant complications by 2.5 times (OR=2.5; p=0.03).

Conclusion: TEP inguinal hernia repair is a safe and effective treatment remedy.

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