Abstract：Objective To compare the clinic effect of modified-Kugel and transabdominal preperitoneal repair (TAPP)in the treatment of adults inguinal hernia. Methods The clinical data of 173 patients with inguinal hernia treated in our hospital from January 2015 to March 2017 were retrospectively analyzed. Patients were divided into modified-Kugel group (78 cases) and the TAPP group (95 cases). The differences in surgical indicators (diameter of hernia sac，operation time，visual analogue scale ［VAS］)，postoperative complications (pain degree，hematoma，effusion，foreign body sensation) and recurrence after 2 years were compared between the two groups. Results There were no significant differences in the diameter of hernia sac neck，operation time and VAS score between the two groups (P＞0.05). There were no significant difference in the incidence rates of early pain，chronic pain and postoperative complications between the two groups (P＞0.05). After 2 years follow-up，there was no significant difference in recurrence rate between the two groups (P＞0.05). Conclusion Modified- Kugel repair and TAPP repair have the same effect treating adult inguinal hernia. Treatment can be selected according to the indication and the specific situation of the patient.
陶红发； 肖勇； 赵坤. Kugel和TAPP修补术治疗成人腹股沟疝的效果比较[J]. 中国当代医药, 2020, 27(18): 70-72转76.
TAO Hong-fa； XIAO Yong； ZHAO Kun. Effect comparison of Kugel and TAPP in the treatment of adults inguinal hernia. 中国当代医药, 2020, 27(18): 70-72转76.
Butters M，Redecke J，Koninger J.Long-term results of a randomized clinical trial of shouldice，Lichtenstein and transabdominal preperitoneal hernia repairs［J］.Br J Surg，2007，94（5）：562-565.
Dogru O，Girgin M，Bulbuller N，et al.Comparison of Kugel and Lichtenstein operations for inguinal hernia repair：results of a prospective randomized study［J］.World J Surg，2006，30（3）：346-350.
［12］
Nienhuijs S，Staal E，Keemers-Gels M，et al.Pain after open preperitoneal repair versus Lichtenstein repair：a randomized trial［J］.World J Surg，2007，31（9）：1751-1757.
［13］
Arslan K，Erenoglu B，Turan E，et al.Minimally invasive pre peritoneal single-layer mesh repair versus standard Lichtenstein hernia repair for inguinal hernia：a prospective randomized trial［J］.Hernia，2015，19（3）：373-381.
［14］
Okinaga K，Hori T，Inaba T，et al.A randomized clinical study on postoperative pain comparing the Polysoft patch to the modified Kugel patch for transinguinal preperitoneal inguinal hernia repair［J］.Surg Today，2016，46（6）：691-698.
京公网安备 11010502046607号