Comparison of clinical efficacy and safety of 3 different surgical methods in treatment of inguinal hernia

LV Zhengyao; XIONG Zhiguo; DING Ding

Abstract：Objective To investigate the clinical efficacy and safety of laparoscopic total extraperitoneal inguinal hernia repair (TEP), tibial retroperitoneal repair (TAPP) and open tension-free hernia repair in the treatment of inguinal hernia. Methods 149 patients with inguinal hernia were selected as subjects admitted to our hospital from February 2014 to December 2015. Patients were divided into TEP group (n=52), TAPP group (n=52) and local anesthesia group (n=45) according to the different surgical methods. The clinical efficacy, operation time, postoperative bowel function recovery time, hospitalization time, hospitalization cost, recurrence rate and complication occurred in one year were compared. Results The operation time, postoperative recovery time, hospitalization time and hospitalization cost of the three groups were significantly different (P<0.05). The operation time, postoperative recovery time, hospitalization time and hospitalization cost were significantly short in the local anesthesia group than in the TEP and TAPP group (P<0.05). The recurrence rate of TEP group, TAPP group and local anesthesia group was 3.84%, 3.84% and 2.22% in 1 year, respectively. There was no recurrence rate in the three groups (P>0.05). No significant difference was detected in recurrence rate between the three groups in the last 1 years (P>0.05). No significant difference was detected in the total incidence of complications between the three groups (P>0.05). Conclusion TEP, TAPP and open tension-free hernia repair can effectively treat inguinal hernia. The recurrence rate is low and the safety is high. The best surgical procedure can be selected according to the patient's personal condition and economic bear ability.