Articles Vol. 67 No. CĐ7-Trường ĐH Y Dược Hải Phòng 06/07/2026

CLINICAL AND PARACLINICAL CHARACTERISTICS OF PATIENTS UNDERGOING LAPAROSCOPIC TRANSABDOMINAL PREPERITONEAL (TAPP) INGUINAL HERNIA REPAIR USING SELF-GRIPPING MESH

Pham Van Thuong1,2,3,4,5,6, Pham Quoc Hieu3,4,6,7, Pham Hai Linh8,9
1 Department of Surgery, Hai Phong University of Medicine and Pharmacy, Hai Phong, Vietnam.
2 Department of Gastrointestinal Surgery, Viet Tiep Friendship Hospital, Hai Phong, Vietnam
3 Department of General Surgery, Hai Phong University Hospital, Hai Phong, Vietnam.
4 Bộ môn Ngoại-PTTH, Trường Đại học Y Dược Hải Phòng, Hải Phòng.
5 Khoa Ngoại tiêu hóa, Bệnh viện Hữu Nghị Việt Tiệp, Hải Phòng.
6 Khoa Ngoại Tổng hợp, Bệnh viện Đại học Y Hải Phòng
7 Department of Surgery, Hai Phong University of Medicine and Pharmacy, Hai Phong, Vietnam
8 Department of Gastrointestinal Surgery, Kien An, Hai Phong, Vietnam.
9 Khoa Ngoại Tiêu hóa, Bệnh viện Kiến An, Hải Phòng.
DOI: 10.52163/yhc.v67iCD7.5604
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Keywords
Valsalva maneuver, TAPP, self-gripping mesh.
Abstract

ABSTRACT

Objective: To evaluate the clinical and paraclinical characteristics of patients with inguinal hernia undergoing laparoscopic transabdominal preperitoneal (TAPP) repair using self-gripping mesh.

Subjects and Methods: A descriptive case series combining retrospective and prospective data on 45 patients who underwent TAPP repair for inguinal hernia using self-gripping mesh at Hai Phong University of Medicine and Pharmacy Hospital from January 2025 to December 2025.

Results: The mean age was 59.5 ± 12.3 years (range: 23–79), and all patients were male. The mean BMI was 22.4 ± 2.4 kg/m². No patient had an ASA score > III. Common causes of increased intra-abdominal pressure were benign prostatic hyperplasia and constipation (21 patients). There was a significant discrepancy between preoperative and intraoperative diagnosis of bilateral inguinal hernia. On ultrasonography, 16.9% of cases required the Valsalva maneuver to detect hernia contents.

Conclusion: Thorough evaluation and analysis of clinical and paraclinical characteristics in each patient are essential for selecting the appropriate treatment approach.

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