Abstract:Objective To compare the effect of laparoscopic total extraperitoneal prosthetic(TEP) and open tension-free repair of inguinal hernia in the treatment of inguinal hernia.Methods From January 2016 to December 2018, 87 patients with inguinal hernia treated in our hospital were selected and divided into study group (46 cases) and control group (41 cases) according to random number table method.Open tension-free repair of inguinal hernia was performed in the control group and laparoscopic TEP was performed in the study group.The related indexes and postoperative complications of the two groups were compared.Results The operation time of the patients in the study group was(68.40±8.05) min, hospital stay was (4.20±0.75) d; and the time of getting out of bed was (14.35±4.10) h, which was shorter than that of the control group for (98.50±5.85) min, (6.55±0.50) d, (18.35±4.50) h, the differences were statistically significant (P<0.05).The intraoperative blood loss in the study group was (3.21±0.88) ml, which was lower than that in the control group (4.85±0.95) ml, the difference was statistically significant (P<0.05).The incidence of postoperative complications in the study group was 4.35%, which was lower than that in the control group (14.63%), the difference was statistically significant (P<0.05).Conclusion The effect of laparoscopic TEP in the treatment of inguinal hernia is better than that of tension-free repair of inguinal hernia through preperitoneal space, and is more beneficial to postoperative rehabilitation.