Small incision inguinla hernia mesh repair

doi:10.3969/j.issn.1674-3806.2015.07.04

Abstract：Objective To explore the value of small incision inguinal hernia mesh repair .Methods One hundred and seventy-six cases who underwent inguinal herniorrhaphy from January 2012 to January 2014 were includ-ed in this prospective controlled study, with 58 cases in small incision inguinal hernia mesh repair ( SIIHMR)group, 65 cases in mesh plug hernioplasty(MPH) group and 53 cases in total extraperitoneal(TEP) group.The effectivness, complications and cost of varied approachs of inguinal hernia repair were analyzed and compared among the three groups.Results The incision length, recurrence,operating time, cost and recovery time were significantly different among the three groups ( P<0.05 ) .There were a lower recurrence and an average length of ( 3.7 ±0.8 ) cm in the SIIHMR group.The longest incision and shortest operating time occurred in the MPH group , and the longest operat-ing time and the highest cost .The shortest incision and the fastest recovery occurred in the TEP group .The complica-tion rates were not significantly different among the three groups ( P>0.05 ) .Conclusion The three kinds of hernio-plasty have their own characteristics , SIIHMR is suitable for the patients who have inguinal hernia with weak trans-verse fascia or high recurrence risk , especially elderly patients .