Primary clinical application of different laparoscopic surgical procedure for inguinal hernia repair

Objective To investigate the clinical results of laparoscopic surgical procedure for inguinal hernia repair. Methods Retrospective analysis of 34 patients who underwent laparoscopic inguinal hernia repair from January 2009 to June 2010 in the Ningbo Lihuili Hospital,including 21 cases treated with TAPP and 13 cases treated with TEP. Followed-up time from 8 to 24 months, the clinical results such as the amount of intraoperative blood loss, operative time, time to ambulation, passage of flatus, postoperative complications, postoperative hospital stay, recurrence rate and long-term chronic pain between the two groups were compared. Results Thirty-four cases had been performed, the amount of intraoperative blood loss, time to passage of flatus, postoperative hospital stay, postoperative complications between the two groups had no statistical differences(P all 0.05), while the operative time and the time to ambulation of recurrent inguinal hernia repair of TAPP group were significantly higher than those of TEP group(P all0.05), all cases had no recurrence. Conclusion Laparoscopic inguinal hernia repair is feasible and safe, according to the doctor experience choose different procedure could achieve good results.