Abstract

Background: Inguinal hernia is a common surgical condition, particularly in older men, and may progress to incarceration or strangulation if untreated. Laparoscopic approaches such as TAPP and TEP have become widely adopted due to reduced postoperative pain, faster recovery, and good cosmetic outcomes, with recurrence rates comparable to open repair.

Methods: A prospective descriptive study was conducted on 87 patients diagnosed with inguinal hernia who underwent laparoscopic transabdominal preperitoneal (TAPP) repair at Hue Central Hospital – Base 2 from January 2023 to January 2024. All patients were consecutively enrolled and followed until hospital discharge.

Results:  The mean patient age was 55.6 ± 18.6 years (range: 21–89), with a male-to-female ratio of 85:2. The average operative time was 86.2 ± 34.1 minutes (38–180 minutes). The mean postoperative hospital stay was 3.3 ± 1.8 days (2–7 days). Among the procedures, 53 were performed as emergency surgeries and 34 as elective cases. No intraoperative or postoperative complications were observed.

Conclusion: TAPP repair is a safe and effective technique with short operative time, low complication rates, and rapid postoperative recovery. It provides good visualization and control of intra-abdominal structures, including in incarcerated hernias.