Abstract：Objective To analyze and compare the clinical effects of laparoscopic inguinal hernia repair and open-filling tension-free herniorrhaphy.Methods From January 2015 to January 2017,78 patients with inguinal hernia were selected.According to random number table method,they were divided into the study group (n=40)and the control group (n=38).The two groups were treated by laparoscopic herniorrhaphy (TEP)and open hernia ring filling tensionfree repair respectively.The perioperative indexes,postoperative complications and recurrence in one year were analyzed and compared between the two groups.Results The time of getting out of bed,the time of hospitalization and the duration of postoperative pain in the study group were shorter than those in the control group(P<0.05),and the amount of intraoperative bleeding was lesser than that in the control group,the differences were statistically significant(P<0.05).There was no significant difference in the operation time between the two groups(P＞0.05),but the cost of hospitalization of the study group were higher than those in the control group,the difference was statistically significant(P<0.05).The incidence of postoperative complications such as incision infection,urinary retention,scrotal emphysema,serum swelling and neurosensory abnormality were not significantly different between the two groups (P＞0.05).There was no significant difference in postoperative recurrence between the two groups(P＞0.05).Conclusion TEP and open hernia ring filling tension-free repair are safe and effective methods for inguinal hernia.Laparoscopic inguinal hernioplasty is more minimally invasive and faster recovery,but there is no obvious advantage in postoperative complications,and the cost of treatment is high.It is recommended to select the appropriate operation method according to the specific conditions of the patients.
京公网安备 11010502046607号