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Improved outcomes and quality of life following laparoscopic inguinal hernia surgery
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Số 03 - Tập 15 - Năm 2025
https://doi.org/10.51199/vjsel.2025.3.8
https://doi.org/10.51199

Improved outcomes and quality of life following laparoscopic inguinal hernia surgery

Nguyen Thanh Xuan
Nguyen Thanh Xuan
Tác giả chính
Dang Nhu Thanh
Dang Nhu Thanh
Đồng tác giả
4.203 Lượt xem
850 Lượt tải
12 Trích dẫn
98 Chia sẻ

Abstract


Introduction:
The application of 3D technology in laparoscopic surgery is increasingly prevalent. While other medical specialties have shown benefits of 3D over traditional 2D laparoscopic surgery, its use in inguinal hernia repair remains less well-documented.

Patients and Methods:
This prospective, descriptive study included 60 patients diagnosed with inguinal hernia, who underwent 3D laparoscopic surgery at Hue Central Hospital and its Branch 2, from October 2022 to May 2024. Patients were divided into two groups: 30 patients underwent the Transabdominal Preperitoneal (TAPP) approach, including emergency cases, and 30 patients the Totally Extraperitoneal (TEP) approach.

Results:
The average operative times for the TAPP and TEP technique were 51.4 ± 8.16 minutes and 48.83 ± 8.57 minutes, respectively. There were no severe postoperative complications, and all undesirable symptoms responded well to medical treatment without the need for re-intervention. Patients experienced a short recovery period and returned to normal daily activities quickly. The average CCS score of patients at 2 weeks, 1 month and 3 months were 1.38 ± 2.7, 0.6 ± 0.62, and 0.13 ± 0.34, respectively, classified as very good outcomes.

Conclusions:
The 3D technology in laparoscopic surgery for inguinal hernia treatment yields positive results with numerous advantages in improving patients' quality of life after surgery.

Keywords:
3d technology, hernia, quality of life

References

  1. Neumayer L, Giobbie-Hurder A, Jonasson O, et al. Open mesh versus laparoscopic mesh repair of inguinal hernia. N Engl J Med. 2004;350(18):1819-1827. doi:10.1056/NEJMoa040093
  2. Kuhry E, van Veen RN, Langeveld HR, Steyerberg EW, Jeekel J, Bonjer HJ. Open or endoscopic total extraperitoneal inguinal hernia repair? A systematic review. Surg Endosc. 2007;21(2):161-166. doi:10.1007/s00464-006-0167-4
  3. Takata MC, Duh QY. Laparoscopic inguinal hernia repair. Surg Clin North Am. 2008;88(1):157-178, x. doi:10.1016/j.suc.2007.10.005
  4. Novitsky YW, Czerniach DR, Kercher KW, et al. Advantages of laparoscopic transabdominal preperitoneal herniorrhaphy in the evaluation and management of inguinal hernias. Am J Surg. 2007;193(4):466-470. doi:10.1016/j.amjsurg.2006.10.015
  5. Koppatz HE, Harju JI, Sireùn JE, Mentula PJ, Scheinin TM, Sallinen VJ. Three-dimensional versus two-dimensional high-definition laparoscopy in transabdominal preperitoneal inguinal hernia repair: a prospective randomized controlled study. Surg Endosc. 2020;34(11):4857-4865. doi:10.1007/s00464-019-07266-z
  6. Soham Shah SMS. A Study of Comparison of Light Weight 3D Polyester Mesh vs. Light Polypropylene Mesh in Laparoscopic Inguinal Hernia Repair. 2019;4:2-4.
  7. Amato G, Romano G, Goetze T, et al. Fixation free inguinal hernia repair with the 3D dynamic responsive prosthesis ProFlor: Features, procedural steps and long-term results. International Journal of Surgery Open. 2019;21:34-43. doi:10.1016/j.ijso.2019.10.008
  8. Singh K, Singla A, Sharma M. A Prospective Study Comparing Flat Polypropylenee Mesh and 3D Monofilament Mesh in Laparoscopic Mesh Hernioplasty. Journal of Contemporary Medicine …. 2017;2(2):53-57.
  9. Takayama Y, Kaneoka Y, Maeda A, Takahashi T, Uji M. Laparoscopic transabdominal preperitoneal repair versus open mesh plug repair for bilateral primary inguinal hernia. Ann Gastroenterol Surg. 2020;4(2):156-162. doi:10.1002/ags3.12314
  10. Cao C, Shi X, Jin W, Luan F. Clinical Data Analysis for Treatment of Adult Inguinal Hernia by TAPP or TEP. Front Surg. 2022;9. doi:10.3389/fsurg.2022.900843
  11. Jaiswal RK, Pandey NK, Tolat A, Kalwaniya DS, Gupta AK. A Prospective Comparative Study of Laparoscopic Totally Extraperitoneal ( TEP ) and Laparoscopic Transabdominal Preperitoneal ( TAPP ) Inguinal Hernial Repair. 2023;15(7):6-13. doi:10.7759/cureus.42209
  12. Ahmad S, Aslam R, Iftikhar M, Alam M. Early Outcomes of Laparoscopic Transabdominal Preperitoneal (TAPP) Repair. Cureus. Published online February 28, 2023. doi:10.7759/cureus.35567
  13. Rodha MS, Meena SP, Premi K, Sharma N, Puranik A, Chaudhary R. Pain After Transabdominal Preperitoneal (TAPP) or Totally Extraperitoneal (TEP) Technique for Unilateral Inguinal Hernia: A Randomized Controlled Trial. Cureus. Published online April 29, 2022. doi:10.7759/cureus.24582
  14. Nethaji K, Kumari R, Jaiswal P, Jha PK, Ranjan R, Akela A. Comparison of Extended Total Extraperitoneal (E-TEP) Repair and Trans-Abdominal Pre-Peritoneal (TAPP) Mesh Repair in Inguinal Hernia Repair. Cureus. Published online May 24, 2023. doi:10.7759/cureus.39420
  15. Ho CH, Wu CC, Wu CC, Tsai YC. Laparoscopic total extraperitoneal inguinal hernia repair is safe and feasible in patients with continuation of antithrombotics. J Minim Access Surg. 2019;15(4):299-304. doi:10.4103/jmas.JMAS_128_18
  16. Shah S. A Study of Comparison of Light Weight 3D Polyester Mesh vs. Light Polypropylene Mesh in Laparoscopic Inguinal Hernia Repair OPEN ACCESS. Vol 4.; 2019. http://clinicsinsurgery.com/
  17. Amato G, Romano G, Goetze T, et al. Fixation free inguinal hernia repair with the 3D dynamic responsive prosthesis ProFlor: Features, procedural steps and long-term results. International Journal of Surgery Open. 2019;21:34-43. doi:10.1016/j.ijso.2019.10.008
  18. Singh K, Singla A, Sharma M, Resident S, Resident J. A Prospective Study Comparing Flat Polypropylenee Mesh and 3D Monofilament Mesh in Laparoscopic Mesh Hernioplasty. Vol 2.
  19. Verheij M, Abdalla AE, Chandran P. Comparative Review of Outcomes of Totally Extraperitoneal (TEP) and Transabdominal Preperitoneal (TAPP) Primary Inguinal Hernia Repair. Cureus. Published online December 1, 2023. doi:10.7759/cureus.49790
  20. Aziz SS, Jan Z, Ijaz N, Zarin M, Toru HK. Comparison of Early Outcomes in Patients Undergoing Suture Fixation Versus Tack Fixation of Mesh in Laparoscopic Transabdominal Preperitoneal (TAPP) Repair of Inguinal Hernia. Cureus. Published online July 13, 2022. doi:10.7759/cureus.26821
  21. Yang S, Zhang G, Jin C, et al. Transabdominal preperitoneal laparoscopic approach for incarcerated inguinal hernia repair: A report of 73 cases. Medicine. 2016;95(52):e5686-e5686. doi:10.1097/MD.0000000000005686
  22. Roy P, Bangia V, Srivastav S, Singh A, Kumar H, Pushp A. Quality Of Life Assessment after Laparoscopic Mesh Hernioplasty for Inguinal Hernia. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN. 2016;15(4):59-61. doi:10.9790/0853-1504015961.