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Issue: No. 98 (2026): CHÀO MỪNG NGÀY KHOA HỌC, CÔNG NGHỆ VÀ ĐỔI MỚI SÁNG TẠO VIỆT NAM NĂM 2026
Section: Article
DOI: 10.58490/ctjump.2026i98.4802
Date Published: 25/05/2026
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Huynh, T. T., Vo, H. T., & Nguyen, V. T. (2026). ASSESSMENT OF TOTALLY EXTRAPERITONEAL LAPAROSCOPIC REPAIR FOR THE TREATMENT OF BILATERAL INGUINAL HERNIA. Cantho Journal of Medicine and Pharmacy, 98, 154-160. https://doi.org/10.58490/ctjump.2026i98.4802

ASSESSMENT OF TOTALLY EXTRAPERITONEAL LAPAROSCOPIC REPAIR FOR THE TREATMENT OF BILATERAL INGUINAL HERNIA

Thanh Tuan Huynh1, , Huynh Trang Vo2, Van Tuan Nguyen2
1 O Mon District General Hospital
2 Can Tho University of Medicine and Pharmacy

Main Article Content

Abstract

Background: Bilateral inguinal hernia is frequently encountered in elderly male patients and poses technical challenges in surgical management. Totally extraperitoneal laparoscopic repair has gained widespread acceptance due to reduced postoperative pain and faster recovery; however, real-world outcome data from the Mekong Delta region in Vietnam remain limited. Objectives: To evaluate the early surgical outcomes of bilateral inguinal hernias treated with totally extraperitoneal laparoscopic mesh repair. Materials and methods: A cross-sectional descriptive study was conducted on 52 consecutive patients undergoing bilateral totally extraperitoneal repair between 2025 and 2026 at three hospitals in Can Tho, Vietnam. Demographic characteristics, operative time, postoperative pain measured by the Visual Analog Scale (VAS), length of hospital stay, and early postoperative complications were analyzed. Results: The mean age was 64.8 ± 11.1 years; 100% of patients were male. The mean operative time was 89.1 ± 21.5 minutes. Postoperative pain scores decreased significantly from 2.9 at 12 hours to 1.8 at 24 hours and 1.1 at discharge. The average length of hospital stay was 2.3 ± 1.0 days. Early postoperative complications occurred in 17.3% of patients (including seroma/hematoma 7.7%, subcutaneous emphysema 5.8%, and urinary retention 5.8%), all classified as mild (Clavien-Dindo grade I). Intraoperative peritoneal tearing occurred in 21.2% of cases, but no conversion to open surgery was required. Conclusion: Totally extraperitoneal laparoscopic repair for bilateral inguinal hernia is a safe approach, demonstrating low early morbidity and favorable postoperative recovery. These findings support the feasibility of implementing totally extraperitoneal repair in regional surgical centers. 

Keywords

Inguinal hernia, laparoscopy, totally extraperitoneal repair, surgical mesh, postoperative complications

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