ĐÁNH GIÁ KẾT QUẢ BƯỚC ĐẦU PHẪU THUẬT LICHTENSTEIN SỬ DỤNG LƯỚI TỰ DÍNH ĐIỀU TRỊ THOÁT VỊ BẸN TẠI BỆNH VIỆN QUÂN Y 103

Abstract

Abstract

Objectives: To evaluate the effectiveness of inguinal hernia repair using the Lichtenstein technique with self-gripping Progrip mesh compared to conventional

Polypropylene mesh at Military Hospital 103. Methods: A retrospective, prospective, descriptive case series with a control group comparing two groups of patients who underwent inguinal hernia repair using the Lichtenstein technique at the Military Hospital 103 from January to June 2024. Group 1 included 27 patients (30 cases, with 3 patients having bilateral hernias) treated with self-gripping Progrip mesh. Group 2 included 40 patients (46 cases, with 6 patients having bilateral hernias) treated with conventional polypropylene mesh. The variables collected and compared between the two groups included epidemiological characteristics, surgical technique, and early and late postoperative outcomes. Results: The self-gripping mesh group had a statistically significant shorter mean mesh placement time and total operative time than the Polypropylene mesh group (p < 0.001). There were no statistically significant differences between the two groups in terms of postoperative pain, time to ambulation, length of hospital stay, early and late complications, or recurrence rates. Conclusion: Using self-gripping Progrip mesh in Lichtenstein inguinal hernia repair reduces operative and mesh placement time while achieving comparable early and late treatment outcomes to conventional Polypropylene mesh.