Comparative study on the operative methods of inguinal hernia preperitoneal hernia repair and mesh plug hernia repair

Abstract

Objective To investigate the comparative study on the operative methods of inguinal hernia preperitoneal hernia repair and mesh plug hernia repair. Methods We retrospectively analyzed the clinical data of 1 237 patients with inguinal hernia who underwent open tension-free hernia repair from January 2010 to January 2018 in Liangxiang hospital, Fangshan district, Beijing. They were divided into two groups of Plug and Pre-peritoneal according to operation method. The infection, recurrence, chronic pain, foreign body sensation were compared. Results 1 237 cases were enrolled and followed up for 12 to 24 months. There are no significant difference between two groups in recurrence rate, mesh infection, chronic pain. Pre-peritoneal group was better than plug group in terms of recurrence rate, mesh infection and postoperative chronic pain, with statistically significant differences (P<0.05). Conclusion pre-peritoneal hernia repair is safe and effective with a lower complication rates. Key words: Hernia, inguinal hernia; Tension-free hernia repair; Preperitoneal; Plug