World Journal of Laparoscopic Surgery

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VOLUME 14 , ISSUE 3 ( September-December, 2021 ) > List of Articles


Laparoscopic Totally Extraperitoneal Repair Using Three-dimension Mesh to Treat Bilateral Inguinal Hernia in Adults

Phuoc Van Nguyen, Minh Quang Dao, Quyet Van Ha, Thuong Van Pham, Truong Van Nguyen, Thang Quyet Tran, Anh Thuy Tran, Son Ngoc Vu, Hien Van Nguyen

Keywords : Bilateral inguinal hernia, Laparoscopic totally extraperitoneal, Three-dimension mesh

Citation Information : Van Nguyen P, Dao MQ, Van Ha Q, Van Pham T, Van Nguyen T, Tran TQ, Tran AT, Vu SN, Van Nguyen H. Laparoscopic Totally Extraperitoneal Repair Using Three-dimension Mesh to Treat Bilateral Inguinal Hernia in Adults. World J Lap Surg 2021; 14 (3):195-200.

DOI: 10.5005/jp-journals-10033-1471

License: CC BY-NC 4.0

Published Online: 05-03-2022

Copyright Statement:  Copyright © 2021; The Author(s).


Aim: This study is aimed to examine the effectiveness of laparoscopic totally extraperitoneal (TEP) repair using three-dimension (3D) mesh to treat bilateral inguinal hernia in adults. Materials and methods: We conducted case series on 50 patients with bilateral inguinal hernias undergoing laparoscopic TEP surgery using 3D mesh at Thanh Nhan Hospital from January 2017 to June 2019. Results: Of 50 patients, 66.0% of patients had a direct inguinal hernia and 34.0% of patients had an indirect inguinal hernia. The diameter of the herniated hole was mainly from 1.5 to 3 cm in 84.0% of patients. There were 82% of patients using small 3D mesh (8.5 × 13.7 cm) and one case required mesh fixation (2.0%). Seven patients (14.0%) had complications during surgery. The average postoperative pain time was 2.2 ± 1.5 days (1–15 days). Pain degree decreased gradually from day 1 to day 3. By day 3 after surgery, 94% of patients had only slight pain, two patients (4.0%) had mild pain, and one patient (2.0%) had moderate pain. All patients were followed for a mean of 21.4 ± 11.8 months (minimum 1 month, maximum 40 months). At 1 month postoperative, there was one patient with chronic pain in the groin (2.1%). After 6, 12, and 24 months, no recurrence was recorded. Conclusion: TEP laparoscopic surgery using 3D mesh is a safe, feasible, and effective method in bilateral inguinal hernia in adults, with low rates of complications and recurrence.

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