Laparoscopic transabdominal preperitoneal herniorrhaphy versus mesh-plug tension-free hernioplasty for inguinal hernia in adult patients

Abstract

Objective To retrospectively analyze the clinical efficiency of laparoscopic transabdominal preperitoneal hernioplasty (TAPP) in the treatment of inguinal hernia, compared to mesh-plug tension-free hernioplasty. Methods From January 2014 to December 2016, 62 patients in our hospital who underwent laparoscopic transabdominal preperitoneal hernioplasty were as TAPP group, 88 patients who underwent mesh-plug tension-free hernioplasty during the corresponding period were as control group. We observed the length of stay, hospitalization expenses, pain score, postoperative complications (incision infection, seroma, ischemic orchitis, recurrence). Results In TAPP group, the length of stay [(3.4±1.53)d vs.(6.5±2.71)d, P=0.003], pain score [(2.15±1.13) point vs.(5.78±2.27) point, P=0.013], postoperative complications (3.22% vs.12.5%, P=0.047) were less than those in control group; the hospitalization expenses [(13 246.7±1 238.5) RMB vs.(7 852.5±533.8) RMB, P=0.0016] in TAPP group was more than that in control group, with statistically significant differences. Conclusion TAPP is safe and effective for inguinal hernia patients, which has the advantages of minimally invasive, ache light, recover fast. Key words: Inguinal hernia; Laparoscopic transabdominal preperitoneal hernioplasty; Mesh-plug tension-free hernioplasty