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Abstract
Objectives: To evaluate the results of treatment of inguinal hernia with TEP and TAPP. Benefits of applying 3D technology in the treatment of inguinal hernia.
Methods: Prospective longitudinal study of 100 patients diagnosed with inguinal hernia, groups: 50 TAPP and 50 TEP at Hue Central Hospital from August 2022 to March /2024.
Results: Average age in TAPP group 56.4 ± 16.9, TEP group 56.8 ± 15.8 (p = 0.59). Indirect inguinal hernia in TAPP group 42 patients (84%), TEP group 45 patients (90%); Direct inguinal hernia in TAPP group 7 patients (14%), TEP group 3 patients (6%); Mixed inguinal hernia TAPP 1 patient (2%), TEP 2 patients (4%). The average surgery time in the TAPP group was 52.7 ± 8.7 minutes, TEP group, was 50.4 ± 7.4 minutes (p = 0.31). Preperitoneal cavity creation time TAPP 10.3 minutes, TEP 11.7 minutes. Hospital stay after surgery in TAPP group 2.2 ± 0.5 days, TEP group 2.18 ± 0.4 days. VAS score after 1 day in TAPP group 5.2 ± 0.5, TEP 4.1 ± 0.4 (p = 0.02); VAS after 2 days in TAPP group 3.08 ± 0.4, TEP 3.02 ± 0.1 (p = 0.04); VAS after 3 days TAPP group 2.44 ± 0.9 (n = 9), TEP 2.25 ± 0.5 (n = 8) (p = 0.12). Seroma after surgery in TAPP group: 3 patients (6%), TEP group: 2 patients (4%). Chronic pain after TAPP surgery 2 patients (4%), TEP 1 patient (2%).
Conclusions: Laparoscopic surgery to treat inguinal hernia using 3D technology is a safe and effective method. TEP and TAPP have similar results when followed in the early stages.
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| Published | 21-06-2024 | |
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| Issue | No. 96 (2024) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.96.12 | |
| Keywords | Công nghệ 3D, thoát vị bẹn, phẫu thuật nội soi, TEP, TAPP 3D technology, inguinal hernia, laparoscopic surgery, TEP, TAPP |
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